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Sample records for care crisis mother

  1. An Analysis on the Identity Crisis, Typology and Developmental Process in Mothers of Children with Severe Motor and Intellectual Disabilities

    OpenAIRE

    前盛, ひとみ

    2009-01-01

    The identity development resulting from caring for an important object has attracted considerable attention in recent times. Mothers having children with severe motor and intellectual disabilities were analyzed from the perspective of differences in identity crisis-, development, and the process of identity development. Semi-structured interviews were conducted with 15 participating mothers having children with severe motor and intellectual disabilities. The date obtained on personality devel...

  2. Parenting in a crisis: conceptualising mothers of children with cancer.

    Science.gov (United States)

    Young, Bridget; Dixon-Woods, Mary; Findlay, Michelle; Heney, David

    2002-11-01

    Much research on the experiences of parents of children with cancer has been conducted within a discourse of psycho-pathology, or has tended to see parents mostly as a proxy source of information on the well-being of their children. Using empirical data from semi-structured interviews with 20 mothers of a child with cancer, in one area of the UK, we draw on sociological literatures on motherhood, childhood, caring, and chronic illness to suggest a more helpful and informative way of understanding their experiences. We suggest that mothers, although not ill themselves, experience many of the consequences of chronic illness. Biographical disruption begins for them when they first notice something wrong with their child, and intensifies with diagnosis, altering their sense of self and their social identity. The diagnosis brings with it a set of new responsibilities and role expectations, including an obligation of 'proximity'-being physically close to their child at all times to provide 'comfort' and 'keep-watch'. For mothers, caring evokes an intense emotional interdependence with their sick child, and involves a range of technical tasks and emotional work, including acting as 'brokers' of information for their child and managing their cooperation with treatment. Managing these obligations was achieved at high cost to the mothers themselves, and resulted in severe role strain by compromising their ability to function in other roles, including their role as the mother of their other children. Against the backdrop of a severe and life-threatening illness, everyday concerns about their child's diet or appropriate discipline take on a new significance and carry a heightened potential for generating conflict and distress for mothers. In presenting their accounts, mothers draw on prevailing cultural discourses about motherhood, childhood and cancer, and these clearly influence the context in which they care for their child, and shape their reflexive constructions of their

  3. Caring for adolescents and families in crisis.

    Science.gov (United States)

    Parsons, Cindy

    2003-03-01

    Nurses are likely to see adolescents and their families in a variety of practice settings. Recognizing the youth and family at risk is significant in helping them resolve a stressful situation by mobilizing resources and strengthening coping and problem-solving skills. This article has focused on several areas, including suicide and depression, sex-related issues, substance abuse, and poor academic performance. Helping the youth and family in crisis challenges the nurse to use astute assessment skills that support a patient-centered crisis intervention model. During a time when cost-effective mental health care is a necessity, this model offers nurses an opportunity to provide quality health care.

  4. [Care of mothers of newborns in intensive care units: experiences, feelings and expectations of the mothers].

    Science.gov (United States)

    Belli, M A

    1995-08-01

    The purpose of the study was to examine the experiences, feelings and expectation of mothers of high risk newborns. The population was a group of 20 mothers of high risk newborns of three hospitals in the City of São Paulo. Interview with the mothers was the method of data collection containing opened and structured questions. It was verified that most of the mothers had none or only a little interaction with the newborn after delivery; the eye contact was the most referred during the staying of the newborn in the Intensive Care Unity; all of them demonstrated interest in participating in the care of the newborn and expressed the need of information concerning to the health status of the newborn, the Intensive Care Unity environment and the hospital team. Several were the feelings expressed and the motives that indicated the needs of the mothers.

  5. Reviewing the definition of crisis in dementia care

    Directory of Open Access Journals (Sweden)

    Vroomen Janet MacNeil

    2013-02-01

    Full Text Available Abstract Background Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice. Methods We systematically searched for articles containing definitions of crisis in the context of dementia care. We created an operational framework of crisis based on retrieved definitions. Recommendations to address crisis situations were reviewed and classified according to care settings. Results Abstracts and titles of 1,113 articles, screened from PubMed and EMBASE, were narrowed down to 27 articles. After review, crisis in dementia was defined as a process where a stressor causes an imbalance requiring an immediate decision to be made which leads to a desired outcome and therefore a resolution of the crisis. If the crisis is not resolved, the cycle continues. Recommendations for resolving crisis involving persons with dementia and their caregivers include awareness therapy after diagnosis and increased contact with general practitioners, case manager consultations, caregiver support and education. Furthermore, nursing home staff should be attuned to the environmental, physical and psychological needs of persons with dementia. Conclusions This is the first article to review the definition of crisis in the context of dementia care. A review of the literature indicated that the definition of a crisis is idiosyncratic. Therefore, it is difficult to prevent or plan for all crises. We used an operational framework to compile types of crisis stressors and recommendations from the crisis literature based on three different perspectives; the person with the dementia, the caregiver and the healthcare providers.

  6. California's Child Care Crisis: A Crime Prevention Tragedy.

    Science.gov (United States)

    Lee, Brian

    This report compiles recent research showing that quality child care and early education can greatly reduce crime and argues that California is in the middle of a child care crisis, with a shortage of quality, affordable care. Chapter 1 of the report presents research showing that at-risk children who participate in quality child care programs are…

  7. Between stigma and mother-blame: blind mothers' experiences in USA hospital postnatal care.

    Science.gov (United States)

    Frederick, Angela

    2015-11-01

    This study examines instances of discrimination that blind mothers in the USA have experienced at the hands of doctors, nurses and social workers during hospital postnatal care. The author identifies postnatal care as the time when blind mothers are likely to face the most stigmatising interactions with medical staff, as it is when scepticism about their competence as mothers is at its height. The author argues these interactions must be understood within their institutional context in which ideologies of risk and mother-blame are embedded in hospital postnatal practices.

  8. Why Do Families Differ? Children's Care for an Unmarried Mother

    Science.gov (United States)

    Henretta, John C.; Soldo, Beth J.; Van Voorhis, Matthew F.

    2011-01-01

    An adult child's provision of care to an unmarried elderly mother varies both within and between families. Within-family differences address the variation in different children's behavior within in a family. Between-family differences refer to the propensities that members of a family--the children of one mother--share and that differentiate them…

  9. What is kangaroo mother care? Systematic review of the literature

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    Grace J Chan

    2016-06-01

    Full Text Available Kangaroo mother care (KMC, often defined as skin–to–skin contact between a mother and her newborn, frequent or exclusive breastfeeding, and early discharge from the hospital has been effective in reducing the risk of mortality among preterm and low birth weight infants. Research studies and program implementation of KMC have used various definitions.

  10. Child Care Arrangements Of Working Mothers

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    Singh H

    1993-01-01

    Full Text Available Children arrangements for infants and preschool children and the reasons for working outside the home were studied in 300 mothers of whom 100 were teachers (Group. I 100 clerks (groups II and 100 tabourers (Group III. The interview method was used. The most common (80% reason for working was financial needs, the next most frequent was utilization of specialized skills. In 58.7% of the cases, substitute childcare was provided by one of the family members, usually the grandmother. Sixty six percent of caretakers were illiterate. Most (93% of the working mothers had also to perform certain household chores. Bottle-feeding was stated at birth by 80% of these mothers: Childcare arrangements for children of working mothers must be considered in the future.

  11. Child Care and Mothers' Mental Health: Is High-Quality Care Associated with Fewer Depressive Symptoms?

    Science.gov (United States)

    Gordon, Rachel A.; Usdansky, Margaret L.; Wang, Xue; Gluzman, Anna

    2011-01-01

    Finding high-quality child care may pose financial and logistical challenges and create ongoing emotional strains for some mothers. We use the Study of Early Child Care and Youth Development to ask (a) are child-care settings that mothers select on the basis of their own perceptions of quality rated more highly by independent observers (and more…

  12. Caring for a child with cancer: impact on mother's health.

    Science.gov (United States)

    Rafii, Forugh; Oskouie, Fatemeh; Shoghi, Mahnaz

    2014-01-01

    The life of a mother undergoes a dramatic change after a child is diagnosed with cancer. The present study aimed to determine effects on the everyday life process and health status of mothers with children suffering from leukemia. This qualitative study was based on a grounded theory approach with sixteen mothers. The results indicate that after onset of disease in their children, they marginalized their own health and tied their identities to taking care of the child and keeping the child healthy by ignoring themselves, becoming imprisoned in a taking-care-of-the-child position, and trying very hard for seek balance and stability Enduring physical pressures on the one hand, and constantly attempting to achieve balance and stability in family processes on the other hand, gradually cause exhaustion. It seems that health care providers and nurses should pay much more attention to the health status of this group of mothers.

  13. The effect of kangaroo mother care on mental health of mothers with low birth weight infants

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    Zohreh Badiee

    2014-01-01

    Full Text Available Background: The mothers of premature infants are at risk of psychological stress because of separation from their infants. One of the methods influencing the maternal mental health in the postpartum period is kangaroo mother care (KMC. This study was conducted to evaluate the effect of KMC of low birth weight infants on their maternal mental health. Materials and Methods: The study was conducted in the Department of Pediatrics of Isfahan University of Medical Sciences, Isfahan, Iran. Premature infants were randomly allocated into two groups. The control group received standard caring in the incubator. In the experimental group, caring with three sessions of 60 min KMC daily for 1 week was practiced. Mental health scores of the mothers were evaluated by using the 28-item General Health Questionnaire. Statistical analysis was performed by the analysis of covariance using SPSS. Results: The scores of 50 infant-mother pairs were analyzed totally (25 in KMC group and 25 in standard care group. Results of covariance analysis showed the positive effects of KMC on the rate of maternal mental health scores. There were statistically significant differences between the mean scores of the experimental group and control subjects in the posttest period (P < 0.001. Conclusion: KMC for low birth weight infants is a safe way to improve maternal mental health. Therefore, it is suggested as a useful method that can be recommended for improving the mental health of mothers.

  14. Drug shortages: a complex health care crisis.

    Science.gov (United States)

    Fox, Erin R; Sweet, Burgunda V; Jensen, Valerie

    2014-03-01

    National tracking of drug shortages began in 2001. However, a significant increase in the number of shortages began in late 2009, with numbers reaching what many have termed crisis level. The typical drug in short supply is a generic product administered by injection. Common classes of drugs affected by shortages include anesthesia medications, antibiotics, pain medications, nutrition and electrolyte products, and chemotherapy agents. The economic and clinical effects of drug shortages are significant. The financial effect of drug shortages is estimated to be hundreds of millions of dollars annually for health systems across the United States. Clinically, patients have been harmed by the lack of drugs or inferior alternatives, resulting in more than 15 documented deaths. Drug shortages occur for a variety of reasons. Generic injectable drugs are particularly susceptible to drug shortages because there are few manufacturers of these products and all manufacturers are running at full capacity. In addition, some manufacturers have had production problems, resulting in poor quality product. Although many suppliers are working to upgrade facilities and add additional manufacturing lines, these activities take time. A number of stakeholder organizations have been involved in meetings to further determine the causes and effects of drug shortages. A new law was enacted in July 2012 that granted the Food and Drug Administration additional tools to address the drug shortage crisis. The future of drug shortages is unknown, but there are hopeful indications that quality improvements and additional capacity may decrease the number of drug shortages in the years to come.

  15. Myasthenic crisis patients who require intensive care unit management.

    Science.gov (United States)

    Sakaguchi, Hideya; Yamashita, Satoshi; Hirano, Teruyuki; Nakajima, Makoto; Kimura, En; Maeda, Yasushi; Uchino, Makoto

    2012-09-01

    The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care.

  16. Privatisation & marketisation of post-birth care: the hidden costs for new mothers

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    Benoit Cecilia

    2012-10-01

    Full Text Available Abstract Retrenchment of government services has occurred across a wide range of sectors and regions. Care services, in particular, have been clawed away in the wake of fiscal policies of cost containment and neoliberal policies centred on individual responsibility and market autonomy. Such policies have included the deinstitutionalisation of care from hospitals and clinics, and early discharge from hospital, both of which are predicated on the notion that care can be provided informally within families and communities. In this paper we examine the post-birth "care crisis" that new mothers face in one region of Canada. Method The data are drawn from a larger study of social determinants of pregnant and new mothers' health in Victoria, Canada. Mixed methods interviews were conducted among a purposive sample of women at three points in time. This paper reports data on sample characteristics, length of stay in hospital and health service gaps. This data is contextualised via a more in-depth analysis of qualitative responses from Wave 2 (4-6 weeks postpartum. Results Out results show a significant portion of participants desired services that were not publically available to them during the post-birth period. Among those who reported a gap in care, the two most common barriers were: cost and unavailability of home care supports. Participants' open-ended responses revealed many positive features of the public health care system but also gaps in services, and economic barriers to receiving the care they wanted. The implications of these findings are discussed in relation to recent neoliberal reforms. Discussion & conclusions While Canada may be praised for its public provision of maternity care, mothers' reports of gaps in care during the early postpartum period and increasing use of private doulas is a worrying trend. To the extent that individual mothers or families rely on the market for care provision, issues of equity and quality of care are

  17. COORDINATION OF THE PSYCHOSOCIAL CARE NETWORK FOR MENTAL HEALTH CRISIS

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    Karoline Andrade

    2016-09-01

    Full Text Available This research aimed to investigate the coordination of the psychosocial care network (RAPS for mental health crisis care, in its workers’ view. It is a descriptive exploratory study with qualitative approach. The study was carried out from 62 portfolios made by the students of the Mental Health Crisis and Urgency Course, who answered the reflective question: "Considering your workplace as a point of RAPS / RUE, describe, reflect and write a text with the synthesis regarding the articulation with the other network points in the reality of your municipality". The data were analyzed according to Thematic Content Analysis method suggested by Bardin, which comprises three phases: Pre - analysis, Material Exploration and Treatment of the Information, inference and interpretation. As a result, three thematic categories were identified: Referral, the traditional way of referring to specialized care, which is associated to a more fragmented care process; Matrix support, the current proposal of collaborative care, a joint strategy that contributes to the complex care demanded by mental health services users; and new strategies for network care, exemplified by meetings or sessions that discuss new ways to enable the network care.

  18. Palliative Care: Video Tells a Mother's Story of Caring Support

    Science.gov (United States)

    ... care, and when is it provided? Palliative care combines pain and symptom management with spiritual support, counseling, ... fully understand your needs. Read More "Palliative Care" Articles Increasing the quality of life for patients and ...

  19. Health care in Costa Rica: boom and crisis.

    Science.gov (United States)

    Mesa-Lago, C

    1985-01-01

    In 1960-1980 Costa Rica experienced a health boom, achieving significant improvements which moved that country into the number two position in Latin America for indicators such as population coverage, infant mortality, life expectancy and health services. In addition, there was a gradual process of integration of health services. But in the same period, the cost of health care as a percentage of GNP increased almost 5-fold and in 1980 was the fourth highest in the region. The economic crisis of the 1980s aggravated the financial difficulties; to cope with them, the government introduced an austere program to reduce costs and plans to transform the current model of health care into a more efficient one capable of maintaining Costa Rica's high health standards in the future. The paper is divided into five sections: summary of the historical development of health care, and description of its current organization and of its gradual process of integration; estimation of population coverage and its trends, evaluation of inequalities in coverage, and identification of the non-covered group; analysis of health-care financing and its sources, as well of the recent financial desequilibrium, its causes and measures to restore the equilibrium; description of health care benefits and their differences among groups and regions, analysis of the country's advances in health-care facilities and standards, and measurement of the impact of the health care system in income distribution; and description of the rising cost of health care and the current crisis, analysis of the causes of both phenomena, and review of the measures that have been and should be implemented to solve these problems.

  20. The Effect of Spiritual Care on Stress Levels of Mothers in NICU.

    Science.gov (United States)

    Küçük Alemdar, Dilek; Kardaş Özdemir, Funda; Güdücü Tüfekci, Fatma

    2017-01-01

    Hospitalization of an infant is a difficult situation for the family, and parents require support from the health care team during this difficult time. The aim of this study was to investigate the effect of spiritual care on levels of stress in mothers with infants in a neonatal intensive care unit. This spiritual care study was performed by comparing control and spiritual care pre- and posttest groups. The study population included 62 mothers. The Mother-Baby Introductory Information Form and the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) were used for data collection. Prior to spiritual care, no significant difference was found between the mothers' PSS:NICU scores, whereas following spiritual care, there was a significant difference between PSS:NICU scores of the mothers, in favor of the spiritual care group ( p spiritual needs of mothers and must identify and meet these needs.

  1. The Effect of Kangaroo Mother Care Immediately after Delivery on Mother-infant Attachment 3 Months after Delivery

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    Fatemeh Zahra Karimi

    2016-09-01

    Full Text Available Background  The aim of this study was determine the effect of kangaroo mother care (KMC immediately after delivery on mother-infant attachment 3-month after delivery. Materials and Methods: In this RCT study, 72 mother-infant pairs were randomly divided in to kangaroo mother care and routine care groups.The intervention group received kangaroo mother care (KMC in the first two hours post birth. The control group just received routine hospital care. Mothers in the intervention group were encouraged to keep the baby in KMC as much as possible during the day and night throughout the neonatal period. Participants were followed up for three months after birth. The Main outcome measure was mother-infant attachment at 3 months postpartum and maternal anxiety about the baby at the same time. The data was collected by questionnaire (demographic information of parents and neonates and maternal attachment scale. Analysis was performed using SPSS software (version 14. Results: There was no significant difference between two groups regarding their baseline data. Mean maternal attachment score in the KMC group and in the routine care group at three months after delivery was 52.40±3.30 and 49.86±4.18 respectively, which was significantly higher in the KMC group (P

  2. Contrasting experiences with child health care services by mothers and professional caregivers in transitional housing.

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    Amen, Maisha M; Pacquiao, Dula F

    2004-07-01

    The study examined experiences of mothers and health care providers with preventive child health care services using qualitative methods at a primary care clinic located in transitional housing for homeless families in an urban community with predominantly Black American residents. Participants were 20 mothers and 4 health care professionals. Three major domains emerged: (a). the infrastructure of the clinic and health care delivery poses barriers to mothers' access and use of services for their children; (b). specialized, biomedical-driven care produces fragmented care delivery not responsive to the comprehensive nature of problems of mothers and their children; and (c). organizational strategies for improving access and use of health care services are directed by health care providers' value orientations. Findings support existence of infrastructural characteristics of the health care system that maintains differential value orientations and power structure, and care delivery processes that are non responsive to racially diverse and poor mothers.

  3. Relationship Quality in Non-Cognitively Impaired Mother-Daughter Care Dyads: A Systematic Review.

    Science.gov (United States)

    Solomon, Diane N; Hansen, Lissi; Baggs, Judith G; Lyons, Karen S

    2015-11-01

    More than 60 million Americans provide care to a family member; roughly two thirds are women providing care to aging mothers. Despite the protective nature of relationship quality, little attention has been given to its role in mother-daughter care dyads, particularly in mothers without cognitive impairment. A systematic appraisal of peer-reviewed, English language research was conducted. Nineteen articles met criteria. When relationship quality is positive, mother-daughter dyads enjoy rewards and mutuality, even when conflict occurs. Daughters grow more emotionally committed to mothers' over the care trajectory, despite increasing demands. Daughters' commitment deepens as mothers physically decline, and mothers remain engaged, emotional partners. When relationship quality is ambivalent or negative, burden, conflict, and blame conspire, creating a destructive cycle. Avenues for continuing study, including utilizing the dyad as the unit of analysis, troubled dyads, longitudinal assessment, and end of life context, are needed before interventions to improve mother-daughter relationship quality may be successfully implemented.

  4. Health care crisis needs new approaches, not more dollars. Interview by Debra Mamorsky.

    Science.gov (United States)

    Goodman, J C

    1993-01-01

    An economist and analyst of public policy explains why medical spending accounts, a multitiered health care system, and elimination of government mandates would help solve the nation's health care crisis.

  5. Reconciliation of work and care among lone mothers of adults with intellectual disabilities: the role and limits of care capital.

    Science.gov (United States)

    Chou, Yueh-Ching; Kröger, Teppo

    2014-07-01

    In this study, the concept of social capital is applied to an exploration of Guanxi (social networking to create good relationships) among working lone mothers of adults with intellectual disabilities (ID) in Taiwan. Using in-depth interviews, this study explores the role of social capital, here referred to as 'care capital', in making it possible for working lone mothers to combine their roles as family carers and workers. Eleven divorced or widowed mothers combining their paid work with long-term care responsibilities were recruited from a survey or through NGOs and were interviewed at their home between October 2008 and July 2010. An interpretative phenomenological approach was adopted for data analysis. The findings revealed that the mothers' care capital was extremely limited and was lost, gained and lost again during their life-cycles of long-term care-giving. Guanxi, especially in relation to their employers, proved to be the sole source of care capital for these mothers, making reconciliation between work and care responsibilities possible. In the absence of formal or informal support, religion and the mother-child relationship seemed also to become a kind of care capital for these lone mothers, helping them to get by with their life-long care responsibilities. For formal social and healthcare services, not just in Taiwan but in every country, it is important to develop support for lone mothers of adults with ID who have long-term care responsibilities and low levels of care capital and thus face care poverty.

  6. Caring for vulnerable children: challenges of mothering in the Australian foster care system.

    Science.gov (United States)

    Blythe, Stacy L; Halcomb, Elizabeth J; Wilkes, Lesley; Jackson, Debra

    2013-04-01

    Foster carers have a significant responsibility in caring for vulnerable children. In order to support and facilitate foster carers it is important to understand how they perceive and fulfil this responsibility. A qualitative story-telling study, informed by feminist perspectives, was used to conduct in-depth, semi-structured interviews with 20 women providing long-term foster care in Australia. Thematic analysis revealed these women characterised themselves as mothers, rather than paid carers, to the long-term foster children in their care. Using this maternal self-perception as the starting point, this paper reveals some of the challenges and difficulties participants encountered when mothering within the confines of the child protection system. Implications for nursing practice are discussed. These implications focus on ways that nurses can effectively support foster carers, thus optimising the health and well-being of the vulnerable children in their care.

  7. Shedding Further Light on the Effects of Various Types and Quality of Early Child Care on Infant-Mother Attachment Relationship: The Haifa Study of Early Child Care.

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    Sagi, Abraham; Koren-Karie, Nina; Gini, Motti; Ziv, Yair; Joels, Tirtsa

    2002-01-01

    The Haifa Study of Early Child Care examined the unique contribution of various child-care-related correlates to infant-mother attachment. Findings indicated that, after controlling for other potential contributing variables (including mother characteristics, mother-child interaction, and mother- father relationship), center care adversely…

  8. Experience of mothers in the care of children with type 1 diabetes

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    Elis Mayre da Costa Silveira Martins

    2013-05-01

    Full Text Available Descriptive qualitative study aimed to understand the experience of mothers in the care of type 1 diabetic children in a unit of Tertiary Reference in Diabetes, located in Fortaleza, Ceará, Brazil. Data were collected through semi-structured interviews with 12 mothers of diabetic children, aged 3-12 years. The results were analyzed using the techniques of thematic analysis of Bardin, with these highlighted categories: multiple feeling generated in the impact of the diagnosis; mother facing the competitiveness of affection among the children, the experience of the mother in the expansion of the locus daily care. Conclusion: the disease affects the whole family, and the burden of care falls on the mother in all aspects of the disease, professional support is necessary, once the assistance provided by the mother goes beyond the diabetic child care related to metabolic control.

  9. National Suicide Prevention Lifeline: Enhancing Mental Health Care for Suicidal Individuals and Other People in Crisis

    Science.gov (United States)

    Gould, Madelyn S.; Munfakh, Jimmie L. H.; Kleinman, Marjorie; Lake, Alison M.

    2012-01-01

    Linking at-risk callers to ongoing mental health care is a key goal of crisis hotline interventions that has not often been addressed in evaluations of hotlines' effectiveness. We conducted telephone interviews with 376 suicidal and 278 nonsuicidal crisis callers to the National Suicide Prevention Lifeline (Lifeline) to assess rates of mental…

  10. Respite Care for Single Mothers of Children with Autism Spectrum Disorders

    Science.gov (United States)

    Dyches, Tina Taylor; Christensen, Ruthann; Harper, James M.; Mandleco, Barbara; Roper, Susanne Olsen

    2016-01-01

    Single mothers of children with autism spectrum disorders are rarely studied, yet they may experience unique stressors. Researchers asked 122 single mothers to complete questionnaires concerning respite care, daily hassles/uplifts, depression, and caregiver burden. More than half (59.8%) accessed respite care, which was provided for 1h per day,…

  11. Perceptions of mothers and hospital staff of paediatric care in 13 public hospitals in northern Tanzania

    DEFF Research Database (Denmark)

    Mwangi, Rose; Chandler, Clare; Nasuwa, Fortunata;

    2008-01-01

    User and provider perceptions of quality of care are likely to affect both use and provision of services. However, little is known about how health workers and mothers perceive the delivery of care in hospital paediatric wards in Africa. Paediatric staff and mothers of paediatric inpatients were...

  12. Postpartum Health Services Requested by Mothers with Newborns Receiving Intensive Care.

    Science.gov (United States)

    Verbiest, Sarah; McClain, Erin; Stuebe, Alison; Menard, M Kathryn

    2016-11-01

    Objectives Our pilot study aimed to build knowledge of the postpartum health needs of mothers with infants in a newborn intensive care unit (NICU). Methods Between May 2008 and December 2009, a Certified Nurse Midwife was available during workday hours to provide health care services to mothers visiting their infants in the NICU at a large tertiary care center. Results A total of 424 health service encounters were recorded. Maternal requests for services covered a wide variety of needs, with primary care being the most common. Key health concerns included blood pressure monitoring, colds, coughs, sore throats, insomnia and migraines. Mothers also expressed a need for mental health assessment and support, obstetric care, treatment for sexually transmitted infections, tobacco cessation, breastfeeding assistance, postpartum visits, and provision of contraception. Conclusions Our study suggests that mothers with babies in the NICU have a host of health needs. We also found that women were receptive to receiving health services in a critical care pediatric setting. Intensive care nurseries could feasibly partner with in-patient mother-baby units and/or on-site obstetric clinics to increase access to health care for the mothers of the high-risk newborns in their units. Modifications should be made within health care systems that serve high-risk infants to better address the many needs of the mother/baby dyad in the postpartum period.

  13. Competitive mothering and delegated care: Class relationships in nanny and au pair employment

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    Rosie Cox

    2011-07-01

    Full Text Available This paper uses the idea of 'competitive care' to explore how the mothering projects of nanny and au pair employers and the carers they employ can become inter-twined and yet may also be in conflict or competition. The paper draws on work by Cameron Lynne Macdonald (2010 and Joan Tronto (2006 to make two arguments about the inter-twining of current practices of competitive mothering and the employment of nannies and au pairs. First, practices of competitive mothering can underpin the demand for paid, privatized care in the home (such as nannies and au pairs and involve middle class / advantaged women using their position to raise their children in ways which are specifically designed to ensure and enhance their children's future social status and income. This can be at the cost of the mothering projects (and children of the women they employ. Second, one factor which underlies the prevalence of competitive mothering within certain middle class families is the conflict that working mothers feel about their roles and their strong desire to address these conflicts by showing that their children do not suffer because of their employment. The emphasis on care for children as mothering, rather than parenting – or better still 'care' – underpins this sense of conflict. The idea that it is mothers, rather than parents or society at large, who are delegating care is an important element in the organisation of care, and the relationships with carers that ensue.

  14. Mothers in postdivorce families caring for a child with cystic fibrosis.

    Science.gov (United States)

    Ganong, Lawrence; Doty, Mary Ellen; Gayer, Debra

    2003-10-01

    This study explored the experiences of mothers of children with cystic fibrosis (CF) in postdivorce family structures. In-depth interviews of mothers were conducted by registered nurses with expertise in CF. Interviews focused on responsibility for care of the CF child within the context of postdivorce families (e.g., extent of nonresidential fathers' involvement in children's care, communication between households). Interviews were audiotaped and transcribed verbatim. The constant comparison method was used for analyzing interview data. Marital transitions contributed to the closeness between mothers and children with CF, but they also added to the mothers' sense of being overwhelmed with responsibilities. It is likely that children and mothers are more at risk for stress-related problems when mothers are overburdened by the demands of caregiving, earning a living, and other responsibilities.

  15. Maternal Depressive Symptoms and Child Behavior Problems among Latina Adolescent Mothers: The Buffering Effect of Mother-Reported Partner Child Care Involvement

    Science.gov (United States)

    Smith, Erin N.; Grau, Josefina M.; Duran, Petra A.; Castellanos, Patricia

    2013-01-01

    We examined the relations between maternal depressive symptoms and child internalizing and externalizing problems in a sample of 125 adolescent Latina mothers (primarily Puerto Rican) and their toddlers. We also tested the influence of mother-reported partner child care involvement on child behavior problems and explored mother-reported partner…

  16. Care to child with muscular dystrophies dependent of home technology: mothers´ conception

    Directory of Open Access Journals (Sweden)

    Fabíola Sousa de Oliveira

    2013-05-01

    Full Text Available It was aimed to understand the mother's conception on care to child with muscular dystrophies dependent on technology. Descriptive study with qualitative approach carried out in a children's hospital of the tertiary net in Fortaleza-Ceará, Brazil, as well as in homes of children with muscular dystrophy assisted by the Home Ventilation Assistance Program. The informants were mothers of children with dystrophy aged between zero and four years old, admitted in the Special Patients Unit and assisted by this program. We performed semi-structured interviews and after analysis, the following categories emerged: Care of children with muscular dystrophy and Feelings and expectations of mothers of children with muscular dystrophy. We identified that some mothers consider the child's daily life within the normal patterns, and others report difficulties, creating anxiety and fear of death. Thus, we verify the importance of nurses in the training of these mothers for directed care enabling to overcome stressful moments.

  17. Physical and Mental Health of Mothers Caring for a Child with Rett Syndrome

    Science.gov (United States)

    Laurvick, Crystal L.; Msall, Michael E.; Silburn, Sven; Bower, Carol; de Klerk, Nicholas; Leonard, Helen

    2007-01-01

    Objectives: Our goal was to investigate the physical and mental health of mothers who care for a child with Rett syndrome. Methods: We assessed maternal physical and mental health by using the SF-12 version 1 physical component summary and mental component summary scores as the outcome measures of interest. Mothers (n = 135) of children with Rett…

  18. Disadvantaged Single Teenage Mothers and Their Children: Consequences of Free Educational Day Care.

    Science.gov (United States)

    Campbell, Frances A.; And Others

    1986-01-01

    Examined the benefits of providing free educational day care to children of single teen-age mothers. Results indicated that the children benefitted intellectually from the program, scoring significantly higher than controls on a general cognitive index. Mothers had an increased likelihood of completing high school, obtaining postsecondary…

  19. Making Work Fit Care: Reconciliation Strategies Used by Working Mothers of Adults with Intellectual Disabilities

    Science.gov (United States)

    Chou, Yueh-Ching; Fu, Li-yeh; Chang, Heng-Hao

    2013-01-01

    Background: This study explored the experiences of working mothers with an adult child with intellectual disabilities to understand how they reconcile paid work and care responsibilities. Methods: Fifteen working mothers in Taiwan with an adult child with intellectual disabilities were interviewed, and an interpretative phenomenological approach…

  20. Crisis

    OpenAIRE

    Hertie School of Governance

    2010-01-01

    Crisis as an omnipresent part of our daily lives has become engrained in our mindsets. We should, however, not resort to apathy, but instead attempt to differentiate between those issues sold to us as crises. The new Schlossplatz³ issue shows how crises are managed in various examples and how they can serve as instances of learning.

  1. It's Not Your Mother and Father's Monetary Policy Anymore: The Federal Reserve and Financial Crisis Relief

    Science.gov (United States)

    Hill, Andrew T.; Wood, William C.

    2011-01-01

    The recent financial crisis brought about dramatic changes in the way that the Federal Reserve, the nation's central bank, conducts monetary policy. One challenge for high school educators going forward will be to strike a balance between the teaching of traditional monetary policy and the teaching of the monetary policy used during these…

  2. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    OpenAIRE

    Aysha Almas; Ayaz Ghouse; Ahmed Raza Iftikhar; Munawwar Khursheed

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had un...

  3. Newborn Care Practices among Mother-Infant Dyads in Urban Uganda

    Directory of Open Access Journals (Sweden)

    Violet Okaba Kayom

    2015-01-01

    Full Text Available Background. Most information on newborn care practices in Uganda is from rural communities which may not be generalized to urban settings. Methods. A community based cross-sectional descriptive study was conducted in the capital city of Uganda from February to May 2012. Quantitative and qualitative data on the newborn care practices of eligible mothers were collected. Results. Over 99% of the mothers attended antenatal care at least once and the majority delivered in a health facility. Over 50% of the mothers applied various substances to the cord of their babies to quicken the healing. Although most of the mothers did not bathe their babies within the first 24 hours of birth, the majority had no knowledge of skin to skin care as a thermoprotective method. The practice of bathing babies in herbal medicine was common (65%. Most of the mothers breastfed exclusively (93.2% but only 60.7% initiated breastfeeding within the first hour of life, while a significant number (29% used prelacteal feeds. Conclusion. The inadequate newborn care practices in this urban community point to the need to intensify the promotion of universal coverage of the newborn care practices irrespective of rural or urban communities and irrespective of health care seeking indicators.

  4. Nonmaternal Care's Association With Mother's Parenting Sensitivity: A Case of Self-Selection Bias?

    Science.gov (United States)

    Nomaguchi, Kei M; Demaris, Alfred

    2013-06-01

    Although attachment theory posits that the use of nonmaternal care undermines quality of mothers' parenting, empirical evidence for this link is inconclusive. Using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1,233), the authors examined the associations between nonmaternal care characteristics and maternal sensitivity during the first 3 years of children's lives, with special attention to selection effects and moderation by resource levels. Findings from fixed-effects regression models suggested that, on average, there is little relationship between nonmaternal care characteristics and maternal sensitivity, once selection factors are held constant. Some evidence of moderation effects was found, however. Excellent-quality care is related to more sensitivity for mothers with lower family income. Poor-quality care is related to lower sensitivity for single mothers, but not partnered mothers. In sum, nonmaternal care characteristics do not seem to have as much influence on mothers' parenting as attachment theory claims.

  5. CenteringParenting: an innovative dyad model for group mother-infant care.

    Science.gov (United States)

    Bloomfield, Joanna; Rising, Sharon Schindler

    2013-01-01

    CenteringParenting is a group model that brings a cohort of 6 to 7 mothers and infants together for care during the first year of life. During 9 group sessions the clinician provides well-baby care and also attends to the health, development, and safety issues of the mother. Ideally, CenteringParenting provides continuity of care for a cohort of women who have received care in CenteringPregnancy, group prenatal care that is 10 sessions throughout the entire pregnancy and that leads to community building, better health outcomes, and increased satisfaction with prenatal care. The postpartum year affects the entire family, but especially the mother, who is redefining herself and her own personal goals. Issues of weight/body image, breastfeeding, depression, contraception, and relationship issues all may surface. In traditional care, health resources for support and intervention are frequently lacking or unavailable. Women's health clinicians also note the loss of contact with women they have followed during the prenatal period, often not seeing a woman again until she returns for another pregnancy. CenteringParenting recognizes that the health of the mother is tied to the health of the infant and that assessment and interventions are more appropriate and efficient when done in a dyad context. Facilitative leadership, rather than didactic education, encourages women to fully engage in their care, to raise issues of importance to them, and to discuss concerns within an atmosphere that allows for the surfacing of culturally appropriate values and beliefs. Implementing the model calls for system changes that are often significant. It also requires the building of a substantial team relationship among care providers. This overview describes the CenteringParenting mother-infant dyad care model with special focus on the mother and reviews the perspectives and experiences of staff from several practice sites.

  6. Mother

    Institute of Scientific and Technical Information of China (English)

    付玉涛

    2010-01-01

    @@ 1.You You quarreled with her mother.She was very angry and ran out of home.优优跟妈妈吵了一架,赌气跑了出去. 2.She walked to a noodle shop.And she felt a little hungry.她来到一个拉面铺前,才感到自己有些饿了.

  7. Factors Related to Depression among Higher Income Mothers with Young Children in Day Care Centers.

    Science.gov (United States)

    Fagan, Jay

    1994-01-01

    Examined the association between maternal depression, maternal separation anxiety, social support, and maternal involvement in the day-care center among 54 upper-income mothers and their infants. Found that higher levels of maternal involvement in day care were associated with lower levels of maternal depression. (MDM)

  8. Adjusting to motherhood: maternity care assistance during the postpartum period: how to help new mothers cope.

    NARCIS (Netherlands)

    Wiegers, T.A.

    2006-01-01

    The overall aim of postpartum care is to detect health problems of the mother and/or baby at an early stage, to encourage breastfeeding and to give families a good start. This paper presents an overview of recent literature about postpartum care in several developed countries and elaborates on the D

  9. Child Care, Work, and Depressive Symptoms among Low-Income Mothers

    Science.gov (United States)

    Press, Julie; Fagan, Jay; Bernd, Elisa

    2006-01-01

    Focusing on social factors associated with increased depressive symptoms among working mothers living in poor urban neighborhoods, this study investigates the effects of welfare participation, employment conditions, and child care on women's emotional well-being. The authors use new data from the Philadelphia Survey of Child Care and Work.…

  10. Evaluating multidisciplinary health care teams: taking the crisis out of CRM.

    Science.gov (United States)

    Sutton, Gigi

    2009-08-01

    High-reliability organisations are those, such as within the aviation industry, which operate in complex, hazardous environments and yet despite this are able to balance safety and effectiveness. Crew resource management (CRM) training is used to improve the non-technical skills of aviation crews and other high-reliability teams. To date, CRM within the health sector has been restricted to use with "crisis teams" and "crisis events". The purpose of this discussion paper is to examine the application of CRM to acute, ward-based multidisciplinary health care teams and more broadly to argue for the repositioning of health-based CRM to address effective everyday function, of which "crisis events" form just one part. It is argued that CRM methodology could be applied to evaluate ward-based health care teams and design non-technical skills training to increase their efficacy, promote better patient outcomes, and facilitate a range of positive personal and organisational level outcomes.

  11. Adrenal haemorrhage with cholestasis and adrenal crisis in a newborn of a diabetic mother.

    Science.gov (United States)

    Koklu, Esad; Kurtoglu, Selim; Akcakus, Mustafa; Koklu, Selmin

    2007-03-01

    The large hyperaemic foetal adrenal gland is vulnerable to vascular damage. This may occur in the neonatal period as a consequence of difficult labour, or its aetiology may not be apparent. The spectrum of presentation is considerable, ranging from asymptomatic to severe life-threatening intra-abdominal haemorrhage. The presentation of adrenal insufficiency may be delayed but the regenerative capacity of the adrenal is great, and most adrenal haemorrhage is not associated with significantly impaired function. Some reports showed that cholestatic hepatopathy with congenital hypopituitarism reversed by hydrocortisone treatment is considered in the context of the endocrine syndrome, probably as a consequence of the adrenal failure. We describe a case of bilateral adrenal haemorrhage with hepatitis syndrome and persistent hypoglycaemia in a newborn male with striking features of neonatal cholestasis and adrenal crisis.

  12. Ultrasound for critical care physicians: sickle cell crisis

    Directory of Open Access Journals (Sweden)

    Raschke RA

    2013-08-01

    Full Text Available No abstract available. Article truncated after first page. A 32 year old man was admitted a week earlier with sickle cell pain crisis. He had developed increasing dyspnea, oxygen desaturation and bilateral pulmonary infiltrates. He had a pulseless electric activity code blue and an ultrasound of the heart was obtained (Figure 1. Figure 1. Subxiphoid view ultrasound of the heart. What does the ultrasound show? 1. Aortic dissection; 2. Aortic stenosis; 3. Enlarged left ventricle; 4. Enlarged right ventricle; 5. Pericardial effusion

  13. Romanian Health Care Reform in the Context of Economic Crisis

    Directory of Open Access Journals (Sweden)

    Victoria Gheonea

    2010-12-01

    Full Text Available The effects of financial crisis are strongly felt in Romania, which already face with asignificant slowdown in economic growth or even economic recession. The current and internationalsituation remains still difficult, and requires high budget constraints. Under these conditions, thehealth system in Romania has become one of the most inefficient in Europe, mainly characterized bylack of transparency in the allocation of funds and inefficiency in resource use. The lack of clear andcoherent criteria to evaluate the performance of health institutions results in a difficultimplementation of efficient managerial systems to reward the efficient manager.

  14. The life-world of mothers who care for mentally retarded children: the Katutura township experience

    Directory of Open Access Journals (Sweden)

    A.M. Ntswane

    2007-09-01

    Full Text Available This article reports on a research study done in Katutura Township, near Windhoek. A qualitative, exploratory, descriptive and contextual design was followed to answer the research question investigating experiences of mothers caring for mentally retarded children at home. Phenomenological interviews were conducted with a purposefully selected sample of twelve mothers. The meaning of their experiences was analysed by using Teschxs method (1990 in Creswell, 1994:155 of analysing qualitative data. The results indicated various emotions and challenges experienced by these mothers during the care of their children. Feelings of shock, despondency and sadness dominated the early stages when the retarded children were still young. During later years, as the children were growing up, the mothers felt shame, fear, frustration, anger, disappointment and worry. However, acceptance followed, as the children grew older. Stigma seemed to affect all the respondents. Support in any form or lack thereof seemed to be the decisive factor-positioning mothers along a continuum of two extremes, namely despairing isolation and integrated happiness. Recommendations were made regarding the improvement of heath care services and education of the mothers and their families.

  15. The Day Care Challenge: The Unmet Needs of Mothers and Children.

    Science.gov (United States)

    Keyserling, Mary Dublin

    An overview of the present shortage of day care facilities in the United States is presented in this speech. Statistics cited on the number of working mothers with children under the age of 6 and the number of day care licensed homes and centers show that the shortage of licensed day care facilities is much more acute than it was five years ago.…

  16. Psychiatric home care: a new tool for crisis intervention.

    Science.gov (United States)

    Spiro, A H

    1994-03-01

    The cost of psychiatric care has been rapidly increasing in recent years. Between 1984 and 1987, there was a 46 percent increase in psychiatric hospitals beds and a 60 percent increase in psychiatric units in general hospitals. This reflected a recognition by many health care systems that psychiatric patients were a good source of revenue. With this push toward more and more inpatient programs, crucial aspects of psychiatric care were left behind. Specifically, the limitations of inpatient therapy have not been recognized. Within the past five years, a new program has been developed and pioneered to use home care to prevent psychiatric hospitalizations and to also prevent the difficult transitions for psychiatric patients. Over a two-year period, this program was studied for its impact on the quality and cost of psychiatric care.

  17. Effect of Kangaroo Mother Care on Growth and Morbidity Pattern in Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Keerti Swarnkar

    2016-01-01

    Full Text Available Background: Kangaroo Mother Care (KMC is dened as skin-to-skin contact between a mother and her newborn baby derived from practical similarities to marsupial care giving, proximately exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW infants, and in replication to quandaries of earnest overcrowding in Neonatal Intensive Care Units (NICUs. KMC essentially utilizes the mother as a natural incubator Aim and Objectives: The aim was to assess the feasibility, acceptability and the effectiveness of KMC in LBW infants. It avoids agitation routinely experienced in busy ward. Material and Methods: A pilot open-labeled quasi-randomised clinical trial was conducted in Level III NICU of a teaching institution. 60 newborn infants <2500 g, meeting inclusion criteria were alternatively randomised into two groups: Kangaroo Mother Care (KMC and Conventional Methods of Care (CMC. Kangaroo mother care was practiced with minimum total period of eight hours a day intermittently for the intervention group while the controls remained in incubators or cots. Weight, head circumference, length, morbidity episodes, hospital stay, feeding patterns were monitored for all infants till postmenstrual age of 42 weeks in preterm babies or till a weight of 2500 g is achieved in term SGA babies. Results: The pilot study conrmed that trial processes were efcient, the intervention was acceptable (to mothers and nurses and that the outcome measures were appropriate; KMC babies achieved signicantly better growth at the end of the study (For preterm babies, weight, length and head circumference gain were signicantly higher in the KMC group (weight 19.28±2.9g/day, length 0.99±0.56cm/week and head circumference 0.72±0.07 cm/week than in the CMC group (P <0.001. A signicantly higher number of babies in the CMC group suffered from hypothermia, hypoglycemia, and

  18. The crisis of capitalism and the marketisation of health care: the implications for public health professionals.

    Science.gov (United States)

    McKee, Martin; Stuckler, David

    2012-12-28

    The current economic crisis in Europe has challenged the basis of the economic model that currently prevails in much of the industrialised world. It has revealed a system that is managed not for the benefit of the people but rather for the corporations and the small elite who lead them, and which is clearly unsustainable in its present form. Yet, there is a hidden consequence of this system: an unfolding crisis in health care, driven by the greed of corporations whose profit-seeking model is also failing. Proponents of commodifying healthcare simultaneously argue that the cost of providing care for ageing populations is unaffordable while working to create demand for their health care products among those who are essentially healthy. Will healthcare be the next profit-fuelled investor bubble? In this paper, we call on health professionals to heed the warnings from the economic crisis and, rather than stand by while a crisis unfolds, act now to redirect increasingly market-oriented health systems to serve the common good.

  19. Health Care Austerity Measures in Times of Crisis: The Perspectives of Primary Health Care Physicians in Madrid, Spain.

    Science.gov (United States)

    Heras-Mosteiro, Julio; Sanz-Barbero, Belén; Otero-Garcia, Laura

    2016-01-01

    The current financial crisis has seen severe austerity measures imposed on the Spanish health care system, including reduced public spending, copayments, salary reductions, and reduced services for undocumented migrants. However, the impacts have not been well-documented. We present findings from a qualitative study that explores the perceptions of primary health care physicians in Madrid, Spain. This article discusses the effects of austerity measures implemented in the public health care system and their potential impacts on access and utilization of primary health care services. This is the first study, to our knowledge, exploring the health care experiences during the financial crisis of general practitioners in Madrid, Spain. The majority of participating physicians disapproved of austerity measures implemented in Spain. The findings of this study suggest that undocumented migrants should regain access to health care services; copayments should be minimized and removed for patients with low incomes; and health care professionals should receive additional help to avoid burnout. Failure to implement these measures could result in the quality of health care further deteriorating and could potentially have long-term negative consequences on population health.

  20. A qualitative study: Mothers of late preterm infants relate their experiences of community-based care

    Science.gov (United States)

    Dosani, Aliyah; Oliver, Lynnette May; Lodha, Abhay K; Young, Marilyn

    2017-01-01

    Purpose In Alberta, the high occurrence of late preterm infants and early hospital discharge of mother-infant dyads has implications for postpartum care in the community. Shortened hospital stay and complexities surrounding the care of biologically and developmentally immature late preterm infants heighten anxiety and fears. Our descriptive phenomenological study explores mothers’ experience of caring for their late preterm infants in the community. Methods Eleven mothers were interviewed using a semi-structured interview guide. Interview transcripts were analysed using an interpretive thematic approach. Findings The mothers’ hospital experience informed their perspective that being a late preterm infant was not a “big deal,” and they tended to treat their infant as normal. “Feeding was really problem,” especially the variability in feeding effectiveness, which was not anticipated. Failing to recognize late preterm infants’ feeding distress exemplified lack of knowledge of feeding cues and tendencies to either rationalize or minimize feeding concerns. Public health nurses represent a source of informational support for managing neonatal morbidities associated with being late preterm; however, maternal experiences with public health nurses varied. Some nurses used a directive style that overwhelmed certain mothers. Seeing multiple public health nurses and care providers was not always effective, given inconsistent and contradictory guidance to care. These new and changing situations increased maternal anxiety and stress and influenced maternal confidence in care. Fathers, family, and friends were important sources of emotional support. Conclusion After discharge, mothers report their lack of preparation to meet the special needs of their late preterm infants. Current approaches to community-based care can threaten maternal confidence in care. New models and pathways of care for late preterm infants and their families need to be responsive to the

  1. The effect of formal, neonatal communication-intervention training on mothers in kangaroo care

    Directory of Open Access Journals (Sweden)

    Alta Kritzinger

    2014-01-01

    Full Text Available Background: Due to low-birth-weight, preterm birth, HIV and/or AIDS and poverty-related factors, South Africa presents with an increased prevalence of infants at risk of language delay. A Kangaroo Mother Care (KMC unit offers unique opportunities for training.Aim: The aim of the present study was to determine if formal, neonatal communication-intervention training had an effect on mothers’ knowledge and communication interaction with their high-risk infants.Methods: Three groups of mothers participated: Group 1 was trained whilst practicing KMC; Group 2 was not trained but practiced KMC; and Group 3 was also not trained but practiced sporadic KMC. Ten mothers per group were matched for age, education level and birth order of their infants. The individual training was based on graded sensory stimulation and responsive mother-infant communication interaction, which emphasised talking and singing by the mother.Results: Significant differences were found in mother-infant communication interaction between all three groups, which indicated a positive effect on Group 1 with training. Group 2, KMC without training, also had a positive effect on interaction. However, Group 1 mothers with training demonstrated better knowledge of their infants and were more responsive during interaction than the other two groups.Conclusion: The present study suggests that neonatal communication-intervention training adds value to a KMC programme. Normal 0 false false false EN-ZA X-NONE X-NONE

  2. Attitudinal Difference Among Women Of Different Educational Status Towards Infant And Mother Care

    Directory of Open Access Journals (Sweden)

    Papiya Upadhyay and Deb Prasad Sikdar

    2009-05-01

    Full Text Available Children are the gem of the future. They contribute utmost to the national development of a country. If a country has healthy population, it can fight against all odds. In order to achieve this women come into the forefront. Women in their development process become mothers. A healthy mother can only give rise to healthy babies. The concern for the health of women is very significant and thus cannot be neglected. Against this back drop our present study aims to find out the relationship between women’s educational level and their attitudinal difference towards infant and personal care. The effect of marital status and location variations- rural and urban areas of Nadia district are also taken into consideration. The statistical analyses reflect mothers with higher educational status have positive attitude towards mother (personal and infant care. The rural women lag far behind their urban counterparts in this respect. There is no significant difference between married and unmarried women in attitude towards infant and mother care.

  3. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    Directory of Open Access Journals (Sweden)

    Aysha Almas

    2014-01-01

    Full Text Available Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387 had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218. Per oral calcium channel blocker; 35.4% (137 and intravenous nitrate; 22.7% (88 were the most commonly administered medication in the ER. The mean (SD drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29 mm Hg and on per oral treatment was 43 (27 mm Hg. The maximum mean (SD drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51 mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24. Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  4. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi.

    Science.gov (United States)

    Almas, Aysha; Ghouse, Ayaz; Iftikhar, Ahmed Raza; Khursheed, Munawwar

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218). Per oral calcium channel blocker; 35.4% (137) and intravenous nitrate; 22.7% (88) were the most commonly administered medication in the ER. The mean (SD) drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29) mm Hg and on per oral treatment was 43 (27) mm Hg. The maximum mean (SD) drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51) mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24). Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  5. Children's early child care and their mothers' later involvement with schools.

    Science.gov (United States)

    Crosnoe, Robert; Augustine, Jennifer March; Huston, Aletha C

    2012-01-01

    Theory and policy highlight the role of child care in preparing children for the transition into school. Approaching this issue in a different way, this study investigated whether children's care experiences before this transition promoted their mothers' school involvement after it, with the hypothesized mechanism for this link being the cultivation of children's social and academic skills. Analyses of 1,352 children (1 month-6 years) and parents in the NICHD Study of Early Child Care and Youth Development revealed that mothers were more involved at their children's schools when children had prior histories of high-quality nonparental care. This pattern, which was fairly stable across levels of maternal education and employment, was mediated by children's academic skills and home environments.

  6. Mother's Health Knowledge and Its Links with the Illness and Medical Care of Their Children in India

    Science.gov (United States)

    Patra, Shraboni; Perianayagam, Arokiasamy; Goli, Srinivas

    2016-01-01

    Purpose: The level of mother's health knowledge influences not only her health, but also significantly predicts her children's health and medical care, and spending on medical care. This relationship has not yet been empirically assessed in India. The purpose of this paper is to measure the level of health knowledge of mothers in India and its…

  7. Preventing mother to child transmission of HIV in Vietnam and Indonesia: diverging care dynamics

    NARCIS (Netherlands)

    A.P. Hardon; P. Oosterhoff; J.D. Imelda; N.T. Anh; I. Hidayana

    2009-01-01

    How do women and frontline health workers engage in preventing mother-to-child HIV transmission (PMTCT) in urban areas of Vietnam and Indonesia, where HIV is highly stigmatized and is associated with injecting drug use and sex work? This qualitative study explores local dynamics of care, using a mix

  8. Perceived Quality of Maternal Care in Childhood and Structure and Function of Mothers' Brain

    Science.gov (United States)

    Kim, Pilyoung; Leckman, James F.; Mayes, Linda C.; Newman, Michal-Ann; Feldman, Ruth; Swain, James E.

    2010-01-01

    Animal studies indicate that early maternal care has long-term effects on brain areas related to social attachment and parenting, whereas neglectful mothering is linked with heightened stress reactivity in the hippocampus across the lifespan. The present study explores the possibility, using magnetic resonance imaging, that perceived quality of…

  9. Do Child Care Subsidies Influence Single Mothers' Decision to Invest in Human Capital?

    Science.gov (United States)

    Herbst, Chris M.; Tekin, Erdal

    2011-01-01

    A child care subsidy is one of the most effective policy instruments to facilitate low-income individuals' transition from welfare to work. Although previous studies consistently find that subsidy receipt is associated with increased employment among single mothers, there is currently no evidence on the influence of these benefits on the decision…

  10. Careful or lenient : welfare reform for lone mothers in the Netherlands

    NARCIS (Netherlands)

    Knijn, Trudie; Wel, Frits van

    2001-01-01

    The 1996 welfare reform that attempted to get lone parents out of social assistance represents a major shift in social policy in the Netherlands. Instead of having the financial right to care for their children, lone mothers are now obliged to earn their living by paid work as soon as their youngest

  11. Care of the breastfeeding mother in medical-surgical areas.

    Science.gov (United States)

    Wenner, Lori

    2007-04-01

    Benefits and myths of breastfeeding may interfere with the breastfeeding relationship during maternal hospitalization. Guidelines for maintaining the breastfeeding relationship and/or protecting the milk supply during contact with the health care system outside of the maternal child area are presented.

  12. Joint action between child health care nurses and midwives leads to continuity of care for expectant and new mothers

    Directory of Open Access Journals (Sweden)

    Ingrid Hylander

    2012-07-01

    Full Text Available Reduction of the duration of postpartum hospital stay in western countries highlights the need for better support and continuity of care for expectant and new mothers. The aim of this study was to investigate strategies to improve continuity of care for expectant and new mothers. The study also aimed to elaborate on a preliminary substantive grounded theory model of “linkage in the chain of care” that had been developed earlier. Grounded theory methodology, which involved multiple data sources comprising structured interviews with midwives and child healthcare nurses (n=20, as well as mothers (n=21, participant observation, and written material, was used. Comparative analysis was used to analyse the data. To achieve continuity, three main strategies, transfer, establishing and maintaining a relation, and adjustment, were identified. These strategies for continuity formed the basis of the core category, joint action. In all the strategies for continuity, midwives and child healthcare nurses worked together. In addition, mothers benefited from the joint action and recognized continuity of care when strategies for continuity were implemented. The results are discussed in relation to the established concepts of continuity.

  13. Supporting the need for home care by mothers of children with hemophilia.

    Science.gov (United States)

    Ergün, Sibel; Sülü, Esma; Başbakkal, Zümrüt

    2011-10-01

    This research is a descriptive study that took place in Turkey and was intended to determine the difficulties experienced by mothers of children with hemophilia in maintaining their care at home and establishing appropriate interventions. Research data were collected using a survey prepared by the researchers after reviewing the existing literature. The survey contained 2 sections: (a) questions about the mothers' sociodemographic data and (b) 5 questions about the difficulties that mothers with hemophiliac children experience. Mothers were observed to have not received education about accidents and first aid and were afraid that their child would have an accident (55%); they experienced difficulty finding medications (75%); they felt they needed healthcare personnel during medication administration (85%); and they were sad that their child was ill (80%). Pediatric haematology nurses should strive to educate mothers with hemophiliac children about the disease and how to deal with accidents, first aid, and medication administration; home care services should be organized and made available for all hemophiliac children and their families.

  14. Child health care utilisation in families with young or single mothers in a Swedish county.

    Science.gov (United States)

    Wallby, Thomas; Modin, Bitte; Hjern, Anders

    2013-03-01

    Young age and lone parenthood are risk factors for impaired health among mothers and their children. Due to the higher risks of negative influences on physical and mental health, young and single mothers should be of special concern to the Child Health Services (CHS). In the present study, we investigated consumption patterns of child health care services among young and single mothers in Uppsala County, Sweden to study whether they are reached by the universal CHS program and if selective or indicative measures were administered in daily CHS practice. Register data on CHS contacts and socio-demographic indicators were collected for 10692 infants, born in 1998-2006. Results show small differences in contact pattern and immunization status, between children of young versus older, and single versus cohabiting mothers. However, both young (RR 0.64) and single (RR 0.80) mothers had significantly lower rates of participation in parental group. The CHS were consequently successful in implementing the universal preventive child health programme for all families, including families with young or single mothers. There was no indication, however, of an established selective preventive strategy aimed at these high risk families. Programs for strengthening the support provided to vulnerable families by the CHS are needed.

  15. [Crisis Intervention in a Health Care Hospital for Child and Adolescent Psychiatry].

    Science.gov (United States)

    Burchard, Falk; Diebenbusch, Teresa

    2017-01-01

    Crisis Intervention in a Health Care Hospital for Child and Adolescent Psychiatry In the past years the pressure in society and psychological problems in Germany have risen up. This can especially be verified by the great influx of utilization of child and adolescent psychiatric clinics through the admission of crisis. In this connection social disadvantaged female adolescents with a low socio-economic status, students of the secondary school, children in care and the ones whose parents have to manage their upbringing alone are preferentially affected. These developments require a fast adaptation of the supply system to the transformed demands, in particular in terms of outpatient treatment, as well as a closely and structured cooperation between the youth welfare and child and adolescent psychiatric clinics in their function as systems of help. In the script statistical data and adaptive approaches of a supply department of child and adolescent psychiatry are presented.

  16. Health and health care of mothers and children in a suburban area of Luanda, Angola.

    Science.gov (United States)

    Humbwavali, João Baptista; Giugliani, Camila; Duncan, Bruce Bartholow; Harzheim, Erno; Lavor, Antônio Carlile Holanda; Lavor, Míria Campos; Barbosa, Maria Idalice; Thomas, Patrícia Barros; Hauser, Lisiane

    2014-06-01

    Population health data available in Angola are often insufficient to guide the planning of health interventions. To address this gap, the goal of the present study was to investigate the health of mothers and infants in a suburban municipality in Luanda (Cacuaco), in order to provide a baseline for future comparisons. This was a prevalence study investigating infants younger than 2 years of age and their mothers. Mothers were interviewed, and children's height and weight were measured. Of 749 mothers interviewed, 98.5% (95% CI 98.2-99.1%) had at least one prenatal visit and 51.7% (95% CI 47.4-56.3%) had a health card. Most mothers with a health card had their first prenatal visit before the 20th week of pregnancy, and had at least four prenatal visits; 81.1% (95% CI 78.3-84.1%) of mothers also had their child's health card. Prevalence of exclusive breastfeeding at 6 months was 19% (95% CI 16.2-23.1%). Prevalence of low height-for-age and low BMI-for-age were 32 and 6%, respectively. Mothers with higher education levels were more likely to have had their first prenatal visit earlier, to have had more prenatal visits, to have given birth at a health facility, and to have her own and her child's health cards. Results showed a high prevalence of prenatal care and a low frequency of acute malnutrition. Maternal education level, among factors studied, was the predominant correlate of more positive health behaviors. These findings suggest important progress of mother and child health in Cacuaco, and may serve as a baseline for the planning of health interventions.

  17. Association of family and health care provider opinion on infant feeding with mother's breastfeeding decision.

    Science.gov (United States)

    Odom, Erika C; Li, Ruowei; Scanlon, Kelley S; Perrine, Cria G; Grummer-Strawn, Laurence

    2014-08-01

    In the United States, about 25% of women choose not to initiate breastfeeding, yet little is known about how opinions of individuals in a woman's support network influence her decision to breastfeed. In the 2005-2007 Infant Feeding Practices Study II, women completed questionnaires from the last trimester of pregnancy until 12 months postpartum. Mothers indicated prenatally their family members' and health care providers' opinion on how newborns should be fed: breastfed only, formula fed only, breast and formula fed, or no opinion/don't know. Breastfeeding initiation was determined by asking mothers around 4 weeks postpartum (n=2,041) whether they ever breastfed. Logistic regression was used to examine the association between mothers' perception of family members' and health care providers' opinion on how to feed the infant and the initiation of breastfeeding, adjusting for sociodemographic characteristics. Nearly 14% of mothers surveyed did not initiate breastfeeding. Mothers who believed their family members or health care providers preferred breastfeeding only were least likely not to initiate breastfeeding. Never breastfeeding was significantly associated with the following perceptions: the infant's father (odds ratio [OR]=110.4; 95% CI 52.0 to 234.4) or maternal grandmother (OR=15.9; 95% CI 7.0 to 36.0) preferred only formula feeding; the infant's father (OR=3.2; 95% CI 1.7 to 5.9) or doctor (OR=2.7; 95% CI 1.2 to 6.2) preferred both breast and formula feeding; and the infant's father (OR=7.6; 95% CI 4.5 to 12.7), maternal grandmother (OR=5.4; 95% CI 2.6 to 11.0), or doctor (OR=1.9; 95% CI 1.0 to 3.7) had no opinion/didn't know their feeding preference. The prenatal opinions of family members and health care providers play an important role in a woman's breastfeeding decisions after the infant's birth.

  18. Maternal Health Care Practices among Mothers of a Selected Slum in Dhaka City

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    Mohoshina Karim

    2015-09-01

    Full Text Available Background: Bangladesh is a small South Asian country which became independent in 1971 after a bloody war. Rapid urbanisation in Bangladesh (26% of the 147.1 million inhabitants live in urban areas is fuelling a growth in urban poverty, particularly in the urban slums where the quality of life is extremely poor. The average population density in slums was reported in 2005 as 831 persons per acre or 205,415 people per square kilometre.1 Early commencement of antenatal care by pregnant women as well as regular visits has the potential to affect maternal and foetal outcome. Objective: To assess the status of ANC service used by the pregnant mothers and their socio-demographic characteristics. Materials and Methods: A community-based cross-sectional study was conducted at Moghbazar slum area in Dhaka district of Bangladesh, during January to June 2014. A total of 161 slum dwellers were enrolled in the study. Information regarding education, occupation, monthly family income, antenatal care was gathered using a pretested structured questionnnare and data were analysed. Results: The majority respondents had knowledge about antenatal care and of them 89 (55.2% completed ≥3 visits. Forty five (47.8% pregnant women received ANC from government hospitals. Nearly 72% mothers received ANC service from doctors and 16.9% received from family welfare visitors (FWV. Half of mothers were satisfied with the overall care provided to them. About 86.2% mothers said that they had to wait for more than two hours for check-ups. More than 50% received information about exercise and 36% were reassured about discussing fear and anxiety about pregnancy. Conclusion: This study reveals that antenatal care provided was not up to the mark of standard care and measures should be taken to improve it.

  19. The painful effects of the financial crisis on Spanish health care.

    Science.gov (United States)

    Bosch, Xavier; Moreno, Pedro; López-Soto, Alfonso

    2014-01-01

    Spain has an advanced, integrated health care system that has achieved remarkable results, including substantially improved health outcomes, over a relatively short time. Measures introduced by central and regional governments to combat the financial crisis may be severely affecting the health sector, with proposed changes potentially threatening the principles of equity and social cohesion underlying the welfare state. This article examines recent developments in Spanish health care, focusing on the austerity measures introduced since 2010. In Spain, as in other countries, evaluation of health care changes is difficult due to the paucity of data and because the effects of measures often lag well behind their introduction, meaning the full effects of changes on access to care or health outcomes only become apparent years later. However, some effects are already clear. With exceptions, Spain has not used the crisis as an opportunity to increase efficiency and quality, rationalize and reorganize health services, increase productivity, and regain public trust. We argue that immediate health care cuts may not be the best long-term answer and suggest evidence-driven interventions that involve the portfolio of free services and the private sector, while ensuring that the most vulnerable are protected.

  20. Associations between birth health, maternal employment, and child care arrangement among a community sample of mothers with young children.

    Science.gov (United States)

    Chiao, Chi; Chyu, Laura; Ksobiech, Kate

    2014-01-01

    Although a large body of literature exists on how different types of child care arrangements affect a child's subsequent health and sociocognitive development, little is known about the relationship between birth health and subsequent decisions regarding type of nonparental child care as well as how this relationship might be influenced by maternal employment. This study used data from the Los Angeles Families and Neighborhoods Survey (L.A.FANS). Mothers of 864 children (ages 0-5) provided information regarding birth weight, maternal evaluation of a child's birth health, child's current health, maternal employment, type of child care arrangement chosen, and a variety of socioeconomic variables. Child care options included parental care, relative care, nonrelative care, and daycare center. Multivariate analyses found that birth weight and subjective rating of birth health had similar effects on child care arrangement. After controlling for a child's age and current health condition, multinomial logit analyses found that mothers with children with poorer birth health are more likely to use nonrelative and daycare centers than parental care when compared to mothers with children with better birth health. The magnitude of these relationships diminished when adjusting for maternal employment. Working mothers were significantly more likely to use nonparental child care than nonemployed mothers. Results suggest that a child's health early in life is significantly but indirectly related to subsequent decisions regarding child care arrangements, and this association is influenced by maternal employment. Development of social policy aimed at improving child care service should take maternal and family backgrounds into consideration.

  1. Maternity Care Practices and Breastfeeding Among Adolescent Mothers Aged 12-19 Years--United States, 2009-2011.

    Science.gov (United States)

    Olaiya, Oluwatosin; Dee, Deborah L; Sharma, Andrea J; Smith, Ruben A

    2016-01-22

    The American Academy of Pediatrics recommends that infants be breastfed exclusively for the first 6 months of life, and that mothers continue breastfeeding for at least 1 year. However, in 2011, only 19.3% of mothers aged ≤20 years in the United States exclusively breastfed their infants at 3 months, compared with 36.4% of women aged 20-29 years and 45.0% of women aged ≥30 years. Hospitals play an essential role in providing care that helps mothers establish and continue breastfeeding. The U.S. Surgeon General and numerous health professional organizations recommend providing care aligned with the Baby-Friendly Hospital Initiative (BFHI), including adherence to the Ten Steps to Successful Breastfeeding (Ten Steps), as well as not providing gift packs containing infant formula. Implementing BFHI-aligned maternity care improves duration of any and exclusive breastfeeding among mothers; however, studies have not examined associations between BFHI-aligned maternity care and breastfeeding outcomes solely among adolescent mothers (for this report, adolescents refers to persons aged 12-19 years). Therefore, CDC analyzed 2009-2011 Pregnancy Risk Assessment Monitoring System (PRAMS) data and determined that among adolescent mothers who initiated breastfeeding, self-reported prevalence of experiencing any of the nine selected BFHI-aligned maternity care practices included in the PRAMS survey ranged from 29.2% to 95.4%. Among the five practices identified to be significantly associated with breastfeeding outcomes in this study, the more practices a mother experienced, the more likely she was to be breastfeeding (any amount or exclusively) at 4 weeks and 8 weeks postpartum. Given the substantial health advantages conferred to mothers and children through breastfeeding, and the particular vulnerability of adolescent mothers to lower breastfeeding rates, it is important for hospitals to provide evidence-based maternity practices related to breastfeeding as part of their

  2. The myasthenic patient in crisis: an update of the management in Neurointensive Care Unit

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    Daniel Agustin Godoy

    2013-09-01

    Full Text Available Myasthenia gravis (MG is an autoimmune disorder affecting neuromuscular transmission leading to generalized or localized muscle weakness due most frequently to the presence of autoantibodies against acetylcholine receptors in the postsynaptic motor end-plate. Myasthenic crisis (MC is a complication of MG characterized by worsening muscle weakness, resulting in respiratory failure that requires intubation and mechanical ventilation. It also includes postsurgical patients, in whom exacerbation of muscle weakness from MG causes a delay in extubation. MC is a very important, serious, and reversible neurological emergency that affects 20–30% of the myasthenic patients, usually within the first year of illness and maybe the debut form of the disease. Most patients have a predisposing factor that triggers the crisis, generally an infection of the respiratory tract. Immunoglobulins, plasma exchange, and steroids are the cornerstones of immunotherapy. Today with the modern neurocritical care, mortality rate of MC is less than 5%.

  3. FACTORS LEAD TO DEPRESION DURING ANTENATAL CARE EVERY TRIMESTER OF PREGNANT MOTHER

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    Eddy Surya Kurniawan

    2013-03-01

    Full Text Available The most important factor in reducing maternal and infant mortality rates began during pregnancy. In 2000, one in twenty children die before reaching the age of five years and a mother died of childbirth out of every 325 live births. The death rate in research mainly indicated comparable levels of depression due to stress in pregnant women. The occurrence of symptoms of depression during the perinatal period can be easily recognized. Depression during pregnancy is a common mood disorder such as depression that occurs in the laity in general, where the incidence of depression will occur chemical changes in the brain. Each trimester of pregnancy are at risk of psychological disorders respectively. Antenatal care plays a very important for the safety of the mother and fetus, minimizing the risks of pregnancy, and reduce the number of neonatal deaths. Nursing antenatal care should have run in accordance with minimum standards for pregnant women to obtain a safe childbirth and satisfying.

  4. Clinical teachers as caring mothers from the perspectives of Jordanian nursing students.

    Science.gov (United States)

    Lopez, Violeta

    2003-01-01

    The purpose of this transcultural qualitative study was to discover, describe and explain the meaning of a caring student-teacher encounter within the context of clinical education. Clinical teachers are registered nurses who have completed a university undergraduate nursing degree program and at least 1 year of post-registration clinical experience. They are employed as full-time staff of the faculty of nursing. Among the 19 Jordanian undergraduate nursing students interviewed, "clinical nurse teachers as caring mothers," emerged as an important theme. This paper describes the clinical teachers in their mothering roles, such as supporting, negotiating, reinforcing, transforming and releasing nursing students throughout their clinical practice. Understanding students' cultural beliefs and values provides possible predictors that could facilitate positive student-teacher relationships that could be used to plan the clinical education for nursing students. There is also a need to develop workshops in clinical teaching that would incorporate cultural awareness, especially in a multicultural student-teacher groups.

  5. BELIEFS AND PRACTICES AMONG MOTHERS REGARDING DIET DURING CHILDHOOD ILLNESS IN A TERTIARY CARE HOSPITAL, VISAKHAPATNAM

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    Madhavi

    2015-10-01

    Full Text Available INTRODUCTION : Malnutrition is the most widespread condition affecting the health of the children. Scarcity of suitable foods, lack of purchasing power of the family as well as traditional beliefs and taboos about what the baby should eat, often lead to an insufficient balanced diet, resulting in malnutrition. Culturally related food restriction and reduction in feeding frequency during common childhood illnesses further contributes to the burden of malnutrition and thus to childhood morbidity and mortality. METHODOLOGY : A hospital based, cross sectional descriptive study was conducted among 100 ill children less than 5 years age attending outpatient department of pediatrics in a tertiary care hospital, Visakhapatnam. A semi structured, pretested interview schedule was ad ministered after taking prior consent from mothers. Results were analyzed by using MS Excel. Data was represented as frequencies, percentages and p<0.05 was taken as statistically significant. RESULTS : Among 100 study subjects, 62% were boys and 38% were g irls. Thirty percent of children in the study had Grade IV malnutrition (IAP classification. 38% of the mothers had education up to high school. Most of them were Hindu by religion (70%, and housewives by occupation (71%. Most of them belonged to grade III socio - economic status according to modified B G Prasad classification. During illness, one fourth of mothers in group A (children < 6 months and group B (7 – 24 months decreased breast feeding and in group C (2 - 5 years, 35% mothers made the consiste ncy of food thinner than usual. Belief on hot and cold foods concept was among 34% mothers. Level of education of mothers didn’t show any significant difference in keeping beliefs regarding hot and cold properties of foods. CONCLUSION : False beliefs and pr actices like food restriction during child’s ill health was observed in our study. Appropriate nutritional education to care givers, during common childhood

  6. Selfish mothers? An empirical test of parent-offspring conflict over extended parental care.

    Science.gov (United States)

    Paul, Manabi; Sen Majumder, Sreejani; Bhadra, Anindita

    2014-03-01

    Parent-offspring conflict (POC) theory is an interesting conceptual framework for understanding the dynamics of parental care. However, this theory is not easy to test empirically, as exact measures of parental investment in an experimental set-up are difficult to obtain. We have used free-ranging dogs Canis familiaris in India, to study POC in the context of extended parental care. We observed females and their pups in their natural habitat for the mother's tendency to share food given by humans with her pups in the weaning and post-weaning stages. Since these dogs are scavengers, and depend largely on human provided food for their sustenance, voluntary sharing of food by the mother with her pups is a good surrogate for extended parental care. Our behavioural observations convincingly demonstrate an increase of conflict and decrease of cooperation by the mother with her offspring over given food within a span of 4-6 weeks. We also demonstrate that the competition among the pups in a litter scales with litter size, an indicator of sib-sib competition.

  7. Of mothers and experts: the psychology of post war period and the disciplining of maternal care

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    Claudia Calquín Donoso

    2013-07-01

    Full Text Available The article reflects on the discursive construction of maternal care in psychology. We discuss the emergence of this knowledge and its connections to the political and economic transformations occurred during the postwar period and the beginning of the cold War. From a Foucauldian perspective, the general hypothesis guiding this reflection states that motherly care practices, rather than having an individual and spontaneous character, represent a product of power relationships and knowledge relationships both historically situated and a social practice through which, psychology emerged as science and device of normality and subjectivity.

  8. Family Health Care Mandailing Community (Study of Nuritional Status Among Pregnant Mother

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    Siti Zahara Nasution

    2016-01-01

    Full Text Available In Indonesia, the Central Bureau of Statistics of North Sumatra Province (2011, estimates that in 2010 the infant mortality rate of 24.5 per 1,000 live births. This figure decreased when compared to the previous year at 26.90 per 1,000 live births. There are several factors influencing the reduction in infant mortality, among others, the availability of various facilities or accessibility factors and health services from skilled medical personnel and the willingness of people to change the traditional life to the norm of modern life in the field of health .this study  aims to explore how families with Mandailing culture care for pregnant mother in in term of nutritional support. Informants in this study are mandailing  Natal community. This study found that If there are health workers or health care in they place, pregnant mother will come to check  their condition and their nutritional status at health workers during childbirth although later they are more happy assisted by traditional birth attendants or village shaman, it can reduce the complications or problems that  the pregnant women who will ultimately reduce maternal mortality and infant mortality rate. Mandailing Natal society is a society that is not closed to new information, the community here is relatively easy in receiving information or a new thing, it's just that sometimes less precise methods of delivery that makes people not obey the things delivered. To improve community health status Mandailing Natal especially pregnant mother and childbirth it is advisable: That the government is aggressively disseminating health programs so that the public is more familiar with the health programs in a way reproduce health workers, especially midwives who will assist communities in improving the health of pregnant mothers especially in term of their nutrition and health services in Mandailing Natal to be more proactive in providing community especially related  information to the

  9. Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study

    Science.gov (United States)

    Rosener, Stephanie E.; Barr, Wendy B.; Frayne, Daniel J.; Barash, Joshua H.; Gross, Megan E.; Bennett, Ian M.

    2016-01-01

    PURPOSE Interconception care (ICC) is recommended to improve birth outcomes by targeting maternal risk factors, but little is known about its implementation. We evaluated the frequency and nature of ICC delivered to mothers at well-child visits and maternal receptivity to these practices. METHODS We surveyed a convenience sample of mothers accompanying their child to well-child visits at family medicine academic practices in the IMPLICIT (Interventions to Minimize Preterm and Low Birth Weight Infants Through Continuous Improvement Techniques) Network. Health history, behaviors, and the frequency of the child’s physician addressing maternal depression, tobacco use, family planning, and folic acid supplementation were assessed, along with maternal receptivity to advice. RESULTS Three-quarters of the 658 respondents shared a medical home with their child. Overall, 17% of respondents reported a previous preterm birth, 19% reported a history of depression, 25% were smoking, 26% were not using contraception, and 58% were not taking folic acid. Regarding advice, 80% of mothers who smoked were counseled to quit, 59% reported depression screening, 71% discussed contraception, and 44% discussed folic acid. Screening for depression and family planning was more likely when the mother and child shared a medical home (P .05). CONCLUSIONS Family physicians provide key elements of ICC at well-child visits, and mothers are highly receptive to advice from their child’s physician even if they receive primary care elsewhere. Routine integration of ICC at these visits may provide an opportunity to reduce maternal risk factors for adverse subsequent birth outcomes. PMID:27401423

  10. Medical supplies shortages and burnout among greek health care workers during economic crisis: a pilot study.

    Science.gov (United States)

    Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K; Dounias, George; Hadjichristodoulou, Christos

    2014-01-01

    Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country.

  11. New mothers' perceptions regarding maternity care services provided in a prefecture of Northern Greece

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    Maria Tsiligiri

    2010-01-01

    Full Text Available Background: The use of health care services during pregnancy assists in decreasing neonatal deaths and improves the quality of life of pregnant women and their newborn children.Aim: To investigate the perceptions of new mothers in a prefecture of Northern Greece regarding the maternity services provided during pregnancy and childbirth.Methodology: The sample consists of 133 mothers of newborn babies who were hospitalised, after in-hospital delivery, between April and June 2008 in a prefecture of Northern Greece. The instrument used for the data collection was the Kuopio Instrument for Mothers (KIM.Results: 97% of participants were married, 42.2% had higher education and 23.3% were full-time employees. 42.9% of the mothers were primiparous and 57.1% were multiparous. 56.8% had vaginal delivery, while 42.9% had caesarean section. 84.2% of the participants stated that they would prefer to have their next delivery in a private maternity clinic, and 3% stated that they would prefer to give birth at home. 15.3% had participated in childbirth preparatory courses. Finally, the participants considered that maternity services, such as pregnancy monitoring, preventative examinations for foetal abnormalities, PAP-test and preventative examinations for breast cancer, should be provided by the state free of charge.Conclusions: It is necessary to further develop and modernize maternity services in such a way that they will correspond to pregnant women’s needs.

  12. Selfish mothers indeed! Resource-dependent conflict over extended parental care in free-ranging dogs.

    Science.gov (United States)

    Paul, Manabi; Majumder, Sreejani Sen; Nandi, Anjan K; Bhadra, Anindita

    2015-12-01

    Parent-offspring conflict (POC) theory provides an interesting premise for understanding social dynamics in facultatively social species. In free-ranging dogs, mothers increase conflict over extended parental care with their pups beyond the weaning stage. In this study, we investigated whether resource quality affects POC in the dogs that typically live in a highly competitive environment as scavengers. We built a theoretical model to predict the alternative options available to the mother in the context of food sharing with her pups when protein-rich food (meat) is provided, as compared to carbohydrate-rich food (biscuits). We fit the mothers' response from experimental data to the model and show that the mothers choose a selfish strategy, which can in turn ensure higher lifetime reproductive success, while depriving the current litter access to better resources. These results have interesting implications for understanding the social dynamics of the dogs, and the emergence of facultative sociality in a species that evolved from strongly social ancestors. We speculate that the tendency of increased conflict in resource-rich conditions might have driven the process of domestication in the ancestors of dogs which defected from their groups in favour of richer resources around human settlements.

  13. Care around birth, infant and mother health and maternal health investments – Evidence from a nurse strike

    DEFF Research Database (Denmark)

    Kronborg, Hanne; Sievertsen, Hans Henrik; Wüst, Miriam

    2016-01-01

    investments indicate that strike-exposed mothers—especially those who lacked postnatal early home visits—are less likely to exclusively breastfeed their child at four months. Thus reduced care around birth may have persistent effects on treated children through its impact on parental investments.......Care around birth may impact child and mother health and parental health investments. We exploit the 2008 national strike among Danish nurses to identify the effects of care around birth on infant and mother health (proxied by health care usage) and maternal investments in the health...... not find strong effects of strike exposure on infant and mother GP contacts in the longer run, this result suggests that parents substitute one type of care for another. While we lack power to identify the effects of care around birth on hospital readmissions and diagnoses, our results for maternal health...

  14. The expectations of fathers concerning care provided by midwives to the mothers during labour

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    Anna G.W. Nolte

    2012-02-01

    Full Text Available Midwives have been criticised for neglecting the expectations and needs of fathers. They either ignore the fathers or pressure them into becoming more involved than they would choose, if allowed to provide support to the mothers during labour. Whilst midwives are providing woman-centred care, it is important that they remember to involve the fathers in decision-making and to acknowledge their role, expectations and needs, because the birth of a child is one of the most important events in a person’s lifetime. This study focused on fathers’ expectations of the care provided to mothers by the midwives during labour. A qualitative, explorative, descriptive and contextual study design was utilised. In-depth qualitative interviews were conducted with fathers about the care provided to their partners or wives by midwives. Data were then analysed with an open descriptive method of coding that is appropriate for qualitative research. The results of the interviews were subsequently positioned within a holistic health-promotive nursing theory that encompassed body, mind and spirit. The results revealed that fathers saw the provision of comfort and support as the two main aspects for mothers in labour that they expected from midwives. The findings were that midwives should improve their communication skills with the mothers, as well as with the fathers if they are available. Fathers expected midwives to encourage them to accompany the mother during labour and to facilitate bonding between father, mother and baby. The results of this study should assist midwives to provide holistic quality care to mothers and fathers during labour.

    Opsomming

    Vroedvroue word daarvan beskuldig dat hulle nie voldoen aan die verwagtinge en behoeftes van die vaders nie. Vaders word, óf deur hulle geïgnoreer, óf druk word op hulle uitgeoefen om meer betrokke te raak as waarmee hulle gemaklik is, indien hulle wel toegelaat word om moeders te

  15. How can we deliver high-quality cancer care in a healthcare system in crisis?

    Science.gov (United States)

    Mayer, Deborah K

    2014-08-01

    This provocative question was addressed in a report from the Institute of Medicine ([IOM], 2013), Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. An interdisciplinary committee synthesized many of the changes that are occurring in our society and health care that will challenge our existing cancer care system. These changes are familiar to many of us: an aging population along with the resulting increase in the number of cancer survivors, an inadequate number of and increased demand for trained healthcare providers, and rising healthcare costs. The IOM report recommended a framework of six interconnected components for improving the quality of cancer care (see Figures 1 and 2). Each of these components is worthy of an editorial and more. I would like to focus, however, on one of them: an adequately staffed, trained, and coordinated workforce. And, for good reason, as I want to retire someday and know that others will be taking my place in caring for cancer survivors across the care continuum. So let's explore this one component in more detail.

  16. The Effect of Kangaroo Mother Care on Fuss and Crying Time in Colicky Infants

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    Zahra Akbarian Rad

    2015-03-01

    Full Text Available Background: Infantile colic is a common complaint in the first few weeks of life. On the other hand, because of its unknown etiology, there is not a specific therapy for this complaint, but various therapeutic options for reducing pain and restlessness of these infants are recommended. Skin to skin contact by Kangaroo Mother Care (KMC increases in pain threshold and it seems to be a suitable method for the care of these infants. This study was designed to evaluate the effect of KMC on infantile colic. Methods: This case- control study was performed between March 2012 and March 2013. Subjects were 55 infants with exclusive breast fed infant, aged 15-60 days with excessive fuss and crying, referred to Infant and Child Clinic in Ayatollah Rohani Hospital in Babol, north of Iran. Babies whose weights were less than 2500 Grams and with inheritance and clinical diseases excluded from the study. Infants were subjected to KMC at least 2 hours a day. Standard questionnaire and Barr Scale were filled by interview. Data was analyzed by SPSS v.11.5 and T-test, a P- value less than 0.05 considered being significant. Results: The fuss and crying time before the KMC was 2.21±1.54 hours per day and decreased to 1.16±1.3 hours per day after the implementation of KMC. (p=0.001 Conclusions: Kangaroo mother care at home can be used as a simple and safe method for decreasing of cry and fussiness in colicky infants. Keywords: Kangaroo Mother Care (KMC, fussiness, Colicky Infants, colic

  17. The Effect of Kangaroo Mother Care on Fuss and Crying Time in Colicky Infants

    Directory of Open Access Journals (Sweden)

    Zahra Akbarian Rad

    2015-03-01

    Full Text Available AbstractBackground: Infantile colic is a common complaint in the first few weeks of life. On the other hand, because of its unknown etiology, there is not a specific therapy for this complaint, but various therapeutic options for reducing pain and restlessness of these infants are recommended. Skin to skin contact by Kangaroo Mother Care (KMC increases in pain threshold and it seems to be a suitable method for the care of these infants. This study was designed to evaluate the effect of KMC on infantile colic.Methods: This case- control study was performed between March 2012 and March 2013. Subjects were 55 infants with exclusive breast fed infant, aged 15-60 days with excessive fuss and crying, referred to Infant and Child Clinic in Ayatollah Rohani Hospital in Babol, north of Iran. Babies whose weights were less than 2500 Grams and with inheritance and clinical diseases excluded from the study. Infants were subjected to KMC at least 2 hours a day. Standard questionnaire and Barr Scale were filled by interview. Data was analyzed by SPSS v.11.5 and T-test, a P- value less than 0.05 considered being significant.Results:The fuss and crying time before the KMC was 2.21±1.54 hours per day and decreased to 1.16±1.3 hours per day after the implementation of KMC. (p=0.001Conclusions:Kangaroo mother care at home can be used as a simple and safe method for decreasing of cry and fussiness in colicky infants. Keywords: Kangaroo Mother Care (KMC, fussiness, Colicky Infants, colic

  18. Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

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    Maria Alexsandra da S. Menezes

    2014-06-01

    Full Text Available OBJECTIVE:To evaluate clinical outcomes, growth and exclusive breastfeeding rates in premature infants assisted by Kangaroo Mother Care at birth, at discharge and at six months of life.METHODS: Prospective study of a premature infants cohort assisted by Kangaroo Mother Care in a tertiary public maternity in Northeast Brazil with birth weight ≤1750g and with clinical conditions for Kangaroo care.RESULTS: The sample was composed by 137 premature infants, being 62.8% female, with average birth weight of 1365±283g, average gestational age of 32±3 weeks and 26.2% were adequate for gestational age. They have been admitted in the Kangaroo Ward with a median of 13 days of life, weighing 1430±167g and, at this time, 57.7% were classified as small for corrected gestational age. They were discharged with 36.8±21.8 days of chronological age, weighing 1780±165g and 67.9% were small for corrected gestational age. At six months of life (n=76, they had an average weight of 5954±971g, and 68.4% presented corrected weight for gestational age between percentiles 15 and 85 of the World Health Organization (WHO weight curve. Exclusive breastfeeding rate at discharge was 56.2% and, at six months of life, 14.4%.CONCLUSIONS: In the studied sample, almost two thirds of the children assisted by Kangaroo Mother Care were, at six months of life, between percentiles 15 and 85 of the WHO weight curves. The frequency of exclusive breastfeeding at six months was low.

  19. Bad Mothers and Monstrous Sons: Autistic Adults, Lifelong Dependency, and Sensationalized Narratives of Care.

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    Allen, Holly

    2017-03-01

    Sensationalized representations of autistic families in film and other media frequently feature violent encounters between mothers and sons. This essay analyzes two media stories and three films that suggest how limited-and therefore misleading-popular representations of the autism family are. Except for one of the films, these representations blame the problem of adult autistic dependency on either monstrous autism or bad mothering. Doing so elides collective social responsibility for autism care and denies the reality that autistic adults continue to have complex dependency needs that families cannot always meet. Narratives that sensationalize youth and adults with autism or scapegoat their maternal caregivers also diminish opportunities for social inclusion and for autistic people to live fully and dependently.

  20. [Social representations on breastfeeding according to preterm infants' mothers in Kangaroo Care].

    Science.gov (United States)

    Javorski, Marly; Caetano, Laise Conceição; Vasconcelos, Maria Gorete Lucena de; Leite, Adriana Moraes; Scochi, Carmen Gracinda Silvan

    2004-01-01

    This study aimed to identify the social representations on premature infants' breastfeeding at a Kangaroo Care Unit, from the perspective of mothers who are breastfeeding and describe the conflicts and contradictions they experience in this context. A qualitative approach was adopted, using the first stage of enunciation analysis in the light of social representations theory to identify the meanings assigned to breastfeeding. We found the following representations: healthy babies are breastfed, mother's milk provides protection and preserves the premature child's life, breastfeeding is the complement of motherhood and breastfeeding a premature infant is a hard and exhausting experience. The conflicts resulted from the assimilation of technical contents and discourse, late sucking and representations on breastfeeding.

  1. ESRD in the geriatric population: the crisis of managed care and the opportunity of disease management.

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    Steinman, Theodore I

    2002-01-01

    The geriatric population with end-stage renal disease (ESRD) is placed at risk with regards to the quality and extent of medical coverage because of the rapidly changing financial environment. Managed care organizations (MCOs) are generally for-profit companies that must focus on the bottom line. While the verbal commitment to quality care is voiced, the financial pressures on MCOs have led to a decrease in coverage of many services and outright denial for some necessary treatments. While denying services, the MCOs have also reduced payments to providers for services rendered. The coverage crisis is compounded by health maintenance organizations (HMOs) quitting Medicare because the reimbursement from the Health Care Financing Administration (HCFA) is less than their costs. Because of the above issues which can potentially impact on the quality of care delivered to the ESRD geriatric population, a new approach to disease management has created the opportunity to improve total patient care to a level not yet achieved in the United States. Disease management encompasses integrated care across all disciplines. Every component of care can be tracked by a dedicated information system. Improvement in outcomes has far exceeded the U.S. Renal Data System (USRDS) benchmark performance measurements with a disease management model approach. The key to success is the health service coordinator (HSC), a senior nurse with many years of ESRD experience. This individual coordinates care across all disciplines and expedites necessary referrals. With rapid attention to patient needs there has been a significant reduction in hospital admissions, hospital length of stay, and emergency room visits. Patient care will steadily improve as the disease management system matures as a consequence of understanding the patients total physical and psychosocial needs.

  2. The crisis as catalyst for reframing health care policies in the European Union.

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    Helderman, Jan-Kees

    2015-01-01

    Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare states, health care has always belonged to the sovereignty of European Member States. However, in past two decades, European welfare states have in fact become semi-sovereign states and the European Union (EU) no longer is an exogenous actor in European health policy making. Today, the EU not only puts limits to unsustainable growth levels in health care spending, it also acts as an health policy agenda setter. Since the outbreak of the GFC, it does so in an increasingly coercive and persuasive way, claiming authority over health system reforms alongside the responsibilities of its Member States.

  3. Old news: why the 90-year crisis in medical elder care?

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    Diachun, Laura L; Charise, Andrea; Lingard, Lorelei

    2012-07-01

    North American and European demographic projections indicate that by 2030, persons aged 65 and older will outnumber those younger than 15 by a ratio of 2:1. Curiously, principles of geriatric care have not taken strong hold among nongeriatric specialties, even as we approach the time of greatest need. To explore historical precedents for the current crisis in elder care, this article revisits the prescriptions of G. Stanley Hall's Senescence: The Last Half of Life (1922), a text widely recognized as one of the founding texts in the medicalized study of aging. It presents in brief three of Hall's major concerns-paucity of knowledge of nongeriatric specialists, the need for individualized care of elderly adults, and the prevalence of attitudinal obstacles in medical professionals caring for older persons-to demonstrate how little the language and content of modern appraisals have evolved since 1922. This disconcerting sense of paralysis is presented as an opportunity to advance important questions aimed at stimulating a more-comprehensive research agenda for addressing the future of medical elder care.

  4. Cultural care practices among mothers of nurslings with respiratory infection - doi: 10.5020/18061230.2012.s13

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    Dayanne Rakelly de Oliveira

    2012-11-01

    Full Text Available Objective: To understand the cultural practices of care among mothers of infants with respiratory infection in a pediatric outpatient clinic, from the recognition of the importance of the use of traditional medicine in Brazil. Methods: We applied a descriptive and exploratory study, qualitative, with twenty-eight mothers of infants with respiratory infection seen at a referral center in the city of Barbalha - CE, Brazil. Data were collected between the months of November and December of 2010 through semi-structured interview with a tape recorder. The speeches were analyzed by thematic-categorical analysis, which allowed the creation of four themes: cultural practices of care among mothers, sources of information on medicinal plants, modes of preparation of medicinal herbs and plants used by mothers. To ensure anonymity of participants, they received enumeration following the order of interviews. Results: The study showed that mothers make use of folk medicine, through the preparation of home remedies in order to treat and cure respiratory infections of their children; the leaking tea and herbal medicine are worth mentioning. Mothers place great confidence and give real meaning to the use of homemade preparations. It was observed that this knowledge comes from their mothers, grandparents, relatives and neighbors. Conclusion: Mothers attach great importance to popular practice, the traditional knowledge of relevant cultural value, as it is transmitted from generation to generation and has been rebuilt over time.

  5. Immunization Awareness amongst Mothers of Children at A Tertiary – Care Hospital

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    Nauman Ahmad Khan

    2012-06-01

    Full Text Available Background: Vaccination is a crucial tool to defend against childhood infectious disease. The prevalence of immunization and immunization awareness are affected by a number of factors including maternal age, literacy and socioeconomic conditions. To counter the high infant mortality rate in developing countries, WHO and UNICEF launched the Extended Program for Immunization (EPI in 1976 to protect against the major infectious diseases affecting children. This study was conducted at Civil Hospital Karachi (CHK, the one of the largest hospitals in Pakistan.Objectives: -To assess the level of awareness about immunization amongst mothers at a large tertiary care hospital in a major city in Pakistan.-To determine mother’s perceptions about the effectiveness of immunization-The prevalence of complete immunization amongst children at CHK-To document the major contributors to awareness about immunization amongst mothers.Methodology: In this cross-sectional survey, a questionnaire was developed to gather information to define the demographic profile and to accomplish the study objectives. It was administered by trained medical students to mothers of children visiting pediatric clinics in Civil Hospital Karachi (CHK during August-October 2009. There are 3 pediatric wards in CHK with over 40 patients in each ward and over 100 patients attending clinic per day. 500 mothers were interviewed in the survey. Fathers and all relatives besides the mothers were excluded from the survey. Full immunization was defined as completing all vaccinations according to the EPI’s guidelines. After explaining study objectives to mothers, written informed consent was obtained and assurance with regards to confidentiality was provided. Results: 500 mothers and 1585 children were included in the study, with a mean 3.17 children per woman. The women were mostly uneducated (53% and from low-income homes (51%. Full immunization status was reported in only 542 (35% of children

  6. The U.S. Health Care Crisis Five Years After Passage of the Affordable Care Act: A Data Snapshot.

    Science.gov (United States)

    Hellander, Ida

    2015-01-01

    Despite passage of the Affordable Care Act in 2010, the U.S. health care crisis continues. While coverage has been expanded, the reform will leave 27 million people uninsured in 2024, according to the Congressional Budget Office. Much of the new coverage is of low actuarial value with high cost-sharing requirements, creating barriers to access. Choice of physician is restricted to narrow networks of providers. Recent measures of uninsurance, underinsurance, access to care, and health care costs are given. Changes in Medicare, particularly privatization and the rise of specialty drug tiers that limit access to medically necessary medications, are reviewed. Data on a new wave of consolidation among hospitals, medical groups, insurers, and drug companies are presented. The rise of ultra-high-price drugs, such as Solvadi, is raising pharmaceutical costs, particularly in Medicaid, the program for low-income Americans. International health comparisons continue to show the United States performing poorly in relation to other countries. Recent polling data are presented, showing support for more fundamental reform.

  7. Application of smart phone in "Better Border Healthcare Program": A module for mother and child care

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    Sawang Surasak

    2010-11-01

    Full Text Available Abstract Background To assess the application of cell phone integrating into the healthcare system to improve antenatal care (ANC and expanded programme on immunization (EPI services for the under-served population in border area. Methods A module combining web-based and mobile technology was developed to generate ANC/EPI visit schedule dates in which the healthcare personnel can cross-check, identify and update the mother's ANC and child's EPI status at the healthcare facility or at the household location when performing home visit; with additional feature of sending appointment reminder directly to the scheduled mother in the community. Results The module improved ANC/EPI coverage in the study area along the country border including for both Thai and non-Thai mothers and children who were either permanent resident or migrants; numbers of ANC and EPI visit on-time as per schedule significantly increased; there was less delay of antenatal visits and immunizations. Conclusions The module integrated and functioned successfully as part of the healthcare system; it is proved for its feasibility and the extent to which community healthcare personnel in the low resource setting could efficiently utilize it to perform their duties.

  8. Depressive symptoms among immigrant and Canadian born mothers of preterm infants at neonatal intensive care discharge: a cross sectional study

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    Ballantyne Marilyn

    2013-01-01

    Full Text Available Abstract Background Mothers of preterm infants are considered at higher risk for depressive symptoms, higher than for mothers of healthy term infants. Predictors of depressive symptoms in mothers of preterm infants are not yet well established. Immigrant mothers of term infants have higher prevalence of depressive symptoms than Canadian born mothers but the relative prevalence for immigrant mothers of preterm infants is unknown. This study had two aims: (i to investigate the prevalence of depressive symptoms in immigrant as compared to Canadian born mothers of preterm infants, and (ii to determine what factors are associated with depressive symptoms in mothers of preterm infants. Methods This is a multi-site, cross sectional study of mothers whose preterm infants required hospitalization in neonatal intensive care unit (NICU. Consecutive eligible mothers (N = 291 were recruited during the week prior to their infant’s NICU discharge. Mothers completed a self-administered questionnaire booklet of validated psychosocial/cultural measures including the Center for Epidemiological Studies Depression Scale (CES-D, Parental Stressor Scale:NICU, General Functioning Subscale of the McMaster Family Assessment Device, Social Support Index, and Vancouver Index of Acculturation; and demographic characteristics questions. Infant characteristics included gestational age, birth weight, sex, singleton/multiple birth, and Score for Neonatal Acute Physiology-II. Results Immigrant mothers (N = 107, when compared to Canadian born mothers (N = 184, reported more depressive symptoms, poorer family functioning, less social support, and less mainstream acculturation. Hierarchical regression for a subsample of 271 mothers indicated that single parent status, high stress, poorer family functioning, and less social support were associated with increased depressive symptoms and accounted for 39% of the variance on the CES-D. Immigrant status did not contribute

  9. Delivery Complications Associated With Prenatal Care Access for Medicaid-Insured Mothers in Rural and Urban Hospitals

    Science.gov (United States)

    Laditka, Sarah B.; Laditka, James N.; Bennett, Kevin J.; Probst, Janice C.

    2005-01-01

    Pregnancy complications affect many women. It is likely that some complications can be avoided through routine primary and prenatal care of reasonable quality. The authors examined access to health care during pregnancy for mothers insured by Medicaid. The access indicator is potentially avoidable maternity complications (PAMCs). Potentially…

  10. Predictors of inadequate prenatal care in methamphetamine-using mothers in New Zealand and the United States.

    Science.gov (United States)

    Wu, Min; Lagasse, Linda L; Wouldes, Trecia A; Arria, Amelia M; Wilcox, Tara; Derauf, Chris; Newman, Elana; Shah, Rizwan; Smith, Lynne M; Neal, Charles R; Huestis, Marilyn A; Dellagrotta, Sheri; Lester, Barry M

    2013-04-01

    This study compared patterns of prenatal care among mothers who used methamphetamine (MA) during pregnancy and non-using mothers in the US and New Zealand (NZ), and evaluated associations among maternal drug use, child protective services (CPS) referral, and inadequate prenatal care in both countries. The sample consisted of 182 mothers in the MA-Exposed and 196 in the Comparison groups in the US, and 107 mothers in the MA-Exposed and 112 in the Comparison groups in NZ. Positive toxicology results and/or maternal report of MA use during pregnancy were used to identify MA use. Information about sociodemographics, prenatal care and prenatal substance use was collected by maternal interview. MA-use during pregnancy is associated with lower socioeconomic status, single marital status, and CPS referral in both NZ and the US. Compared to their non-using counterparts, MA-using mothers in the US had significantly higher rates of inadequate prenatal care. No association was found between inadequate care and MA-use in NZ. In the US, inadequate prenatal care was associated with CPS referral, but not in NZ. Referral to CPS for drug use only composed 40 % of all referrals in the US, but only 15 % of referrals in NZ. In our study population, prenatal MA-use and CPS referral eclipse maternal sociodemographics in explanatory power for inadequate prenatal care. The predominant effect of CPS referral in the US is especially interesting, and should encourage further research on whether the US policy of mandatory reporting discourages drug-using mothers from seeking antenatal care.

  11. Maternal care, mother-offspring aggregation and age-dependent coadaptation in the European earwig.

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    Gómez, Y; Kölliker, M

    2013-09-01

    Benefits and costs of parental care are expected to change with offspring development and lead to age-dependent coadaptation expressed as phenotypic (behavioural) matches between offspring age and parental reproductive stage. Parents and offspring interact repeatedly over time for the provision of parental care. Their behaviours should be accordingly adjusted to each other dynamically and adaptively, and the phenotypic match between offspring age and parental stage should stabilize the repeated behavioural interactions. In the European earwig (Forficula auricularia), maternal care is beneficial for offspring survival, but not vital, allowing us to investigate the extent to which the stability of mother-offspring aggregation is shaped by age-dependent coadaptation. In this study, we experimentally cross-fostered nymphs of different age classes (younger or older) between females in early or late reproductive stage to disrupt age-dependent coadaptation, thereby generating female-nymph dyads that were phenotypically matched or mismatched. The results revealed a higher stability in aggregation during the first larval instar when care is most intense, a steeper decline in aggregation tendency over developmental time and a reduced developmental rate in matched compared with mismatched families. Furthermore, nymph survival was positively correlated with female-nymph aggregation stability during the early stages when maternal care is most prevalent. These results support the hypothesis that age-related phenotypically plastic coadaptation affects family dynamics and offspring developmental rate.

  12. Hands-on approach during breastfeeding support in a neonatal intensive care unit: a qualitative study of Swedish mothers' experiences

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    Dumas Louise

    2006-10-01

    Full Text Available Abstract Background Assisting mothers to breastfeed is not easy when babies experience difficulties. In a neonatal intensive care unit (NICU, nurses often help mothers by using hands-on-breast without their permission. Little is known about how mothers feel about this unusual body touching. To gain more knowledge from mothers who lived through this experience, this hands-on practice was studied in a NICU in Sweden. Methods Between January and June 2001, in-depth interviews were conducted with ten mothers of preterm or sick term infants and all of them experienced the hands-on approach. In this research, Radnitzky's seven principles of hermeneutic interpretation were applied in order to interpret the meaning of mothers' responses. This article presents results related to the period of initiation of breastfeeding. This qualitative study was based on a combination of the models of Gustafsson, Orem, and Aarts' Marte Meo. Results Five main themes were identified: Insult to integrity, Manipulating the baby, Understanding and adjustment, Breasts as objects, Alternatives to this practice. Hands-on help in the breastfeeding situation was experienced as unpleasant and the women experienced their breasts as objectified. The mothers accepted the hands-on help given by nursing staff, even though they considered it unpleasant. Most mothers expressed a need for assistance when starting breastfeeding, but could not suggest any alternative to hands-on help such as demonstrating with an artificial breast and a doll. Conclusion The study provides information about how mothers experience unexpected hands-on help with breastfeeding in a NICU, which has not been described previously. Since most mothers in this study regarded this behavior as unpleasant and not helpful mostly because it was unexpected and unexplained, it would be important to either explain beforehand to mothers what type of physical approach could be attempted on their body or better, to avoid this

  13. Impact of the east Asian economic crisis on health and health care: Malaysia's response.

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    Suleiman, A B; Lye, M S; Yon, R; Teoh, S C; Alias, M

    1998-01-01

    In the wake of the east Asian economic crisis, the health budget for the public sector in Malaysia was cut by 12%. The Ministry of Health responded swiftly with a series of broad-based and specific strategies. There was a careful examination of the operating expenditure and where possible measures were taken to minimise the effects of the budget constraints at the service interface. The MOH reprioritised the development of health projects. Important projects such as rural health projects and training facilities, and committed projects, were continued. In public health, population-based preventive and promotive activities were expected to experience some form of curtailment. There is a need to refocus priorities, maximise the utilisation of resources, and increase productivity at all levels and in all sectors, both public and private, in order to minimise the impact of the economic downturn on health.

  14. Why should we care about nonhuman animals during times of crisis?

    Science.gov (United States)

    Appleby, Michael C; Stokes, Tonya

    2008-01-01

    Incentives to care for nonhuman animals derive in part from the extent to which people depend on animals for food, for livelihood, and for cultural and psychological reasons as well as from the duty to protect animals in their care. When attention is turned to solving and preventing animal welfare problems at times of crisis, it becomes clear that those problems are also associated with problems for human welfare and environmental impact. The incidence and spread of animal diseases is affected by how animals are treated, and this can have very important effects. Similarly, during disasters caused by either natural or human-made events, outcomes for animals are important both in themselves and for their effects on humans and the environment. The need to plan and prepare to care for animals in advance of disease pandemics and disasters - and then to provide coordinated, measured management in response when such crises occur - requires collaboration between all agencies involved as well as increasing attention and resources.

  15. The Unwed Mother: Implications For Family Life Educators

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    Burkart, Joan; Whatley, Alice Elrod

    1973-01-01

    The family life educator is in a strategic position to assist in designing school and community programs for the unwed mother and the child. It appears important that the theories of causation be explored without bias; that prenatal and postnatal care be offered; that mental health consultation, therapy and crisis-therapy be promoted and the…

  16. Mothering and the Work of Educational Care--An Integrative Approach

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    Golden, Deborah; Erdreich, Lauren

    2014-01-01

    This article, through looking at mothers' modes of engagement with their children's education, proposes an integrative analytical approach to the study of the making of mothers, mothering, and motherhood. The article presents and brings into dialogue four different bodies of anthropological and sociological literature: mothering as a…

  17. Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs.

    Science.gov (United States)

    Adams, Elizabeth J; Hoffmann, Laurel M; Rosenberg, Kenneth D; Peters, Dawn; Pennise, Melissa

    2015-10-01

    The objective of this study is to explore the association between having a child with special health care needs (CSHCN) and food insecurity when the child is 2 years old. We studied women who had a live birth in 2004-2005 and responded to Oregon's Pregnancy Risk Assessment Monitoring System (PRAMS) survey 3 months postpartum (Time 1) and the follow-up survey (PRAMS-2), when the child was 2 years old (Time 2). Women answering affirmatively to the PRAMS-2 question, "In the last 12 months, did you ever eat less than you felt you should because there was not enough money for food?" were considered food insecure. CSHCN status was identified by affirmative responses to questions about needs for ongoing services (Time 2). PRAMS and PRAMS-2 responses were weighted for study design and non-response. Results report weighted analyses, unless noted. Among 1812 mothers completing PRAMS-2, 13.6 % (unweighted) had a 2-year-old CSHCN and 11.9 % (unweighted) were food insecure at Time 2. The estimated prevalence of food insecurity at 2-year follow-up was 20.7 % among families of CSHCN and 9.7 % for others. After adjustment for Time 2 marital status, education, lifetime U.S. residence, income and health conditions, multivariable logistic regression revealed that odds of food insecurity were more than two times as great for CSHCN mothers 2 years post-partum compared to non-CSHCN mothers (adjusted odds ratio 2.6, 95 % confidence interval 1.3, 4.6). Families of CSHCN face increased risk for food insecurity. Improved understanding of causal determinants of food insecurity among households of CSHCN is needed.

  18. Perceptions of crisis care in populations who self-referred to a telephone-based mental health triage service.

    Science.gov (United States)

    Sands, Natisha; Elsom, Stephen; Keppich-Arnold, Sandra; Henderson, Kathryn; Thomas, Phillipa A

    2016-04-01

    Although psychiatric crises are very common in people with mental illness, little is known about consumer perceptions of mental health crisis care. Given the current emphasis on recovery-oriented approaches, shared decision-making, and partnering with consumers in planning and delivering care, this knowledge gap is significant. Since the late 1990s, access to Australian mental health services has been facilitated by 24/7 telephone-based mental health triage systems, which provide initial psychiatric assessment, referral, support, and advice. A significant proportion of consumers access telephone-based mental health triage services in a state of crisis, but to date, there has been no published studies that specifically report on consumer perceptions on the quality and effectiveness of the care provided by these services. This article reports on a study that investigated consumer perceptions of accessing telephone-based mental health triage services. Seventy-five mental health consumers participated in a telephone interview about their triage service use experience. An eight-item survey designed to measure the responsiveness of mental health services was used for data collection. The findings reported here focus on the qualitative data produced in the study. Consumer participants shared a range of perspectives on telephone-based mental health triage that provide invaluable insights into the needs, expectations, and service use experiences of consumers seeking assistance with a mental health problem. Consumer perceptions of crisis care have important implications for practice. Approaches and interventions identified as important to quality care can be used to inform educational and practice initiatives that promote person-centred, collaborative crisis care.

  19. Preventive health care for mothers and children. A study in Mozambique.

    Science.gov (United States)

    Jelley, D; Madeley, R J

    1983-12-01

    This study seeks to evaluate the delivery of preventive mother and child health services in Maputo, Mozambique. Mozambique has given priority to primary health care in the development of its new National Health Service, with a principal focus on maternal and child health (MCH). Three health centres were selected, from areas of contrasting urban ecology. Prenatal and under-fives' clinics were observed at each health centre. It was found that at a technical level the preventive services were operating efficiently, with a coverage of over two-thirds of the target population. However, frequency of attendance at both clinics was much lower in the poorer areas of the city. Additionally, it was observed that women and children identified as having a high risk status were rarely given more care and support. Nurses and midwives, frequently adopted an attitude more punitive than supportive to those most at risk. Notwithstanding these shortcomings, it is clear that significant advances in preventive MCH care are being achieved in a country where 6 years previously the only available health services were curative, and confined to the better-off urban districts.

  20. Statutory caps: an involuntary contribution to the medical malpractice insurance crisis or a reasonable mechanism for obtaining affordable health care?

    Science.gov (United States)

    Chupkovich, P J

    1993-01-01

    extremely important in light of proposed health care legislation entitled the Health Care Liability Reform and Quality of Care Improvement Act of 1992 [the "Health Care Bill"]. This Comment critically examines the constitutionality of statutory caps on damages in medical malpractice actions. It focuses on the public policy behind the caps and the constitutional issues embodied in limiting an individual's recovery. It also analyzes the impact of the Health Care Bill on statutory caps. Part I outlines the medical malpractice insurance crisis, describes the statutory reforms and discusses the public policy behind tort reform. Part II examines the constitutionality of statutory caps and summarizes the arguments of the proponents and the opponents of these caps. Part III discusses the Health Care Bill and its impact on medical malpractice legislation with respect to statutory caps. This Comment concludes that a compromise must be reached that addresses both the growing health care insurance crisis and the protection of individual rights. The Health Care Liability Reform and Quality of Care Improvement Act of 1992 attempts to achieve this compromise.

  1. Evaluating the Effect of Mother – Baby Skin- to- Skin Care on Neonatal Outcomes in Preterm Infants

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    M Kalhor

    2016-08-01

    Full Text Available Introduction: Involving the parents in caring of premature newborns is one of the best and effective manners for preventing the hospitalization of premature newborns. The present study aimed to evaluate the effect of mother – baby skin- to- skin care on neonatal outcomes in preterm infants, in Kosar hospital. Methods: This was a descriptive comparative study conducted on 400 nulliparous women with premature infants admitted to neonatal intensive care unit of Kosar hospital during April 2012 and March 2015. Sampling was performed via convenience sampling. Sample population divided into two groups, one of them 200, the kangaroo care and non- care groups. The data were obtained by a researcher prepared check list, including mother’s demographic characteristics and neonatal outcomes. Both descriptive and statistical analysis methods were applied. For analyzing the data, chi-square test, t-test, and logistic regression tests was applied (P 0.05. In the intervention group, the relationship between maternal variables and neonatal outcome was significant (P <0.05. Conclusion: Mother – baby skin- to- skin care has a positive effect on neonatal outcomes. Thus, supporting and awareness of premature infants’ mothers in order to implement this type of care can reduce the neonatal complications. Moreover, it is effective in decreasing the treatment costs.

  2. The role of mothers-in-law in antenatal care decision-making in Nepal: a qualitative study

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    van Teijlingen Edwin R

    2010-07-01

    Full Text Available Abstract Background Antenatal care (ANC has been recognised as a way to improve health outcomes for pregnant women and their babies. However, only 29% of pregnant women receive the recommended four antenatal visits in Nepal but reasons for such low utilisation are poorly understood. As in many countries of South Asia, mothers-in-law play a crucial role in the decisions around accessing health care facilities and providers. This paper aims to explore the mother-in-law's role in (a her daughter-in-law's ANC uptake; and (b the decision-making process about using ANC services in Nepal. Methods In-depth interviews were conducted with 30 purposively selected antenatal or postnatal mothers (half users, half non-users of ANC, 10 husbands and 10 mothers-in-law in two different (urban and rural communities. Results Our findings suggest that mothers-in-law sometime have a positive influence, for example when encouraging women to seek ANC, but more often it is negative. Like many rural women of their generation, all mothers-in-law in this study were illiterate and most had not used ANC themselves. The main factors leading mothers-in-law not to support/encourage ANC check ups were expectations regarding pregnant women fulfilling their household duties, perceptions that ANC was not beneficial based largely on their own past experiences, the scarcity of resources under their control and power relations between mothers-in-law and daughters-in-law. Individual knowledge and social class of the mothers-in-law of users and non-users differed significantly, which is likely to have had an effect on their perceptions of the benefits of ANC. Conclusion Mothers-in-law have a strong influence on the uptake of ANC in Nepal. Understanding their role is important if we are to design and target effective community-based health promotion interventions. Health promotion and educational interventions to improve the use of ANC should target women, husbands and family members

  3. Mothers' and fathers' involvement with school-age children's care and academic activities in Navajo Indian families.

    Science.gov (United States)

    Hossain, Ziarat; Anziano, Michael C

    2008-04-01

    This exploratory study examined mothers' and fathers' reports of time involvement in their school-age children's care and academic activities. The study also explored the relationship between parents' socioeconomic status (SES) variables (age, education, income, work hours, and length of marriage) and their relative involvement with children. Mother and father dyads from 34 two-parent Navajo (Diné) Indian families with a second- or third-grade child participated in the study. Repeated measures analysis of variance showed that mothers invested significantly more time in children's care on demand and academic activities than fathers, but the differences in maternal and paternal perceptions of time involvement in routine care were not significant. The gender of the child did not influence the amount of time parents invested in children's care and academic activities. Mothers' involvement with children was not related to any of the SES variables. Fathers' involvement was significantly associated with work hours and length of marriage, and work hours produced significant interaction with fathers' involvement with children. Findings are discussed in light of gender role differences in parental involvement with children within Navajo families.

  4. Early Full-Time Day Care, Mother-Child Attachment, and Quality of the Home Environment in Chile: Preliminary Findings

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    Cárcamo, Rodrigo A.; Vermeer, Harriet J.; van der Veer, René; van IJzendoorn, Marinus H.

    2016-01-01

    Research Findings: Two longitudinal studies are reported examining the effects of full-time day care in Mapuche and non-Mapuche families in Chile. First, the Magellan-Leiden Childcare Study (MLCS) used a sample of 95 mothers with children younger than 1 year old (n = 36 in day care). Second, we partially cross-validated our results in a large and…

  5. Breastfeeding: Mothers and health practitioners in the context of private medical care in Gauteng

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    Diana du Plessis

    2009-04-01

    Full Text Available Despite the well-documented health benefits of breastfeeding and recommendations by the Department of Health for women to exclusively breastfeed for approximately the first six months of life and continuation beyond one year, a large percentage of South African women do not breastfeed their infants, or only do so for a short period of time. No national South African statistics are available but figures emerging from the attendance of mothers at a baby clinic on the West Rand in Gauteng indicated the following: 64% of the mothers breastfeed up to six weeks, after which the figure rapidly declines to less than 20% at three months (Truter 2007. Several studies have assessed the attitudes of health care personnel towards breastfeeding, but little is known of the type of information given to breastfeeding mothers by private medical practitioners who are the frontline of contact with clients and who may convey information that either promotes or discourages breastfeeding. The following question was thus formulated: With regard to breastfeeding, what are the constraints to breastfeeding in private practice?

    Therefore, in order to understand the constraints to breastfeeding, the purpose of this study was to assess the breastfeeding information given to pregnant women by health professionals in private practice. The specific objectives of the study were to determine the breastfeeding recommendations made by private health professionals during pregnancy, to describe the management of breastfeeding in the consulting rooms of private medical practitioners, and to describe women’s experiences of breastfeeding in private hospitals. In Phase 1 of the study the population comprised all mothers who attended a support group for new mothers at a private post-natal clinic In Phase 2 the population comprised all mothers who attended a community baby clinic or support group. The sample consisted of all primigravidae who breastfed or attempted to breastfeed in the

  6. Health Behaviors, Mental Health, and Health Care Utilization Among Single Mothers After Welfare Reforms in the 1990s.

    Science.gov (United States)

    Basu, Sanjay; Rehkopf, David H; Siddiqi, Arjumand; Glymour, M Maria; Kawachi, Ichiro

    2016-03-15

    We studied the health of low-income US women affected by the largest social policy change in recent US history: the 1996 welfare reforms. Using the Behavioral Risk Factor Surveillance System (1993-2012), we performed 2 types of analysis. First, we used difference-in-difference-in-differences analyses to estimate associations between welfare reforms and health outcomes among the most affected women (single mothers aged 18-64 years in 1997; n = 219,469) compared with less affected women (married mothers, single nonmothers, and married nonmothers of the same age range in 1997; n = 2,422,265). We also used a synthetic control approach in which we constructed a more ideal control group for single mothers by weighting outcomes among the less affected groups to match pre-reform outcomes among single mothers. In both specifications, the group most affected by welfare reforms (single mothers) experienced worse health outcomes than comparison groups less affected by the reforms. For example, the reforms were associated with at least a 4.0-percentage-point increase in binge drinking (95% confidence interval: 0.9, 7.0) and a 2.4-percentage-point decrease in the probability of being able to afford medical care (95% confidence interval: 0.1, 4.8) after controlling for age, educational level, and health care insurance status. Although the reforms were applauded for reducing welfare dependency, they may have adversely affected health.

  7. Use of antidepressants in the treatment of major depressive disorder in primary care during a period of economic crisis

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    Sicras-Mainar A

    2015-12-01

    Full Text Available Antoni Sicras-Mainar,1 Ruth Navarro-Artieda2 1Research Unit, Badalona Serveis Assistencials SA, 2Medical Documentation Unit, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain Objective: To describe antidepressant (AD use in the treatment of major depressive disorder during a period of economic crisis.Patients and methods: This was a retrospective, observational study using population-based databases. Two periods were considered: 1 2008–2009, precrisis, and 2 2012–2013, economic crisis. Certain inclusion/exclusion criteria were taken into account for the study (initiation of AD treatment. Patients were followed up for 12 months. The main measures were use (defined daily doses, epidemiologic measures, strategies used and treatment persistence, referrals, and use of resources. Statistical significance was set at P<0.05.Results: In the precrisis period, 3,662 patients were enrolled, and 5,722 were enrolled in the period of economic crisis. Average age was 58.8 years and 65.4% were women. Comparing the two periods, major depressive disorder prevalence was 5.4% vs 8.1%, P<0.001. During the period of economic crisis, AD use rose by 35.2% and drug expenditures decreased by 38.7%. Defined daily dose per patient per day was 10.0 mg vs 13.5 mg, respectively, P<0.001. At 12-month follow-up, the majority of patients (60.8% discontinued the treatment or continued on the same medication as before, and in 23.3% a change of AD was made.Conclusion: Primary health care professionals are highly involved in the management of the illness; in addition, during the period of economic crisis, patients with major depressive disorder showed higher rates of prevalence of the illness, with increased use of AD drugs. Keywords: consumption, antidepressants, economic crisis

  8. Supporting factors and barriers in implementing kangaroo mother care in Indonesia

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    Hadi Pratomo

    2012-01-01

    Full Text Available Background Kangaroo mother care (KMC was introduced to Indonesia in the 1990s. Since then, KMC has not been widely implemented and has not received national policy support. Objective The objectives of this case study were to implement KMC by an intervention that would ultimately benefit ten hospitals in Java, Indonesia, as well as identify supporting factors and barriers to KMC implementation. Methods An intervention with four phases was conducted in ten hospitals. Two teaching hospitals were supported to serve as training centers, six hospitals were supported to implement KMC and two other hospitals were supported to strengthen existing KMC practices. The four phases were comprised of a baseline assessment, a five-day training workshop, two supervisory visits to each hospital, and an end-line assessment. Results A total of 344 low birth weight infants received KMC during the intervention period. Good progress with regards to implementation was observed in most hospitals between the first and second supervisory visits. Supporting factors for KMC were the following: support received from hospital management, positive attitudes of healthcare providers, patients, families and communities, as well as the availability of resources. The most common challenges were record keeping and data collection, human resources and staff issues, infrastructure and budgets, discharge and follow-up, as well as family issues. Challenges related to the family were the inability of the mother or family to visit the infant frequently to provide KMC, and the affordability of hospital user fees for the infant to stay in the hospital for a sufficient period of time. Conclusion KMC appeared to be well accepted in most hospitals. For an intervention to have maximum impact, it is important to integrate services and maintain a complex network of communication systems. [Paediatr Indones. 2012;52:43-50].

  9. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care.

    Science.gov (United States)

    Ifanti, Amalia A; Argyriou, Andreas A; Kalofonou, Foteini H; Kalofonos, Haralabos P

    2013-11-01

    This review study explores the available data relating to the impact of financial crisis and subsequently applied austerity measures on the health care, social services and health promotion policies in Greece. It is evident that Greece is affected more than any other European country by the financial crisis. Unemployment, job insecurity, income reduction, poverty and increase of mental disorders are among the most serious consequences of crisis in the socioeconomic life. The health system is particularly affected by the severe austerity measures. The drastic curtailing of government spending has significantly affected the structure and functioning of public hospitals that cope with understaffing, deficits, drug shortage and basic medical supplies. Moreover, health promotion policies are constrained, inhibiting thus the relevant initiatives toward disease prevention and health promotion education practices. Overall, the current economic situation in Greece and its impact on real life and health care is quite concerning. Policy makers should not disregard the implications that austerity and fiscal policies have on the health sector. Greater attention is needed in order to ensure that individuals would continue getting public health care and having access to preventive and social support services. To face the economic hardship, policy makers are expected to implement human-centered approaches, safeguarding the human dignity and the moral values.

  10. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

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    N. I. Gaponova

    2012-01-01

    Full Text Available Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

  11. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

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    N. I. Gaponova

    2015-12-01

    Full Text Available Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

  12. Missionising Youth Identity Crisis : Towards a missional hermeneutic of care in youth ministry practice

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    Counted, Victor

    2016-01-01

    The intention of this paper is to interpret the ontological conditions of youth identity crisis missionally. This is first done by conceptualising identity crisis as a psychological phenomenon using frameworks of authenticity and attachment to explain the impact of early attachment abuse, abandonmen

  13. Crisis states of Helpline subscribers: issues of diagnosis and psychological care

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    G.S. Bannikov

    2014-08-01

    Full Text Available In recent years, the number of calls to the Helpline from people who are in crisis state, often with suicidal tendencies, has increased significantly. It is therefore particularly important that a helpline counselor had instant recognition skills of crisis state and the ability to quickly build a strategy for crisis counseling. The study described in the article was focused on crisis state structure of helpline subscribers using developed “Crisis state maps”. The subject of the study was the critical state of the individual subscribers seeking psychological help. We tested the assumption that the strategies and methods of psychological assistance are directly related to the features of crisis. We studied crisis state in 70 subscribers. Of these, 59 were females (12 to 66 years old and 11 males (11 to 40 years old. The average age of women was 34,5 years, of men – 23,4 years. The overall average age was 28,65 years. The study result was the portrait of typical helpline subscriber personality. We show the possible strategies of counseling

  14. Rolling out of kangaroo mother care in secondary level facilities in Bihar-Some experiences

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    Sutapa B Neogi

    2016-01-01

    Full Text Available Background: Preterm birth is one of the leading causes of under-five child deaths worldwide and in India. Kangaroo mother care (KMC is a powerful and easy-to-use method to promote health and well-being and reduce morbidity and mortality in preterm/low birth weight (LBW babies. Objective: As the part of the roll-out of India Newborn Action Plan interventions, we implemented KMC in select facilities with an objective to assess the responsiveness of public health system to roll out KMC. Methods: KMC intervention was implemented in two select high priority districts, Gaya and Purnea in Bihar over the duration of 8 months from August 2015 to March 2016. The implementation of intervention was phased out into; situation analysis, implementation of intervention, and interim assessment. KMC model, as envisaged keeping in mind the building blocks of health system, was established in 6 identified health-care facilities. A pretested simple checklist was used to assess the awareness, knowledge, skills, and practice of KMC during baseline situational analysis and interim assessment phases for comparison. Results: The intervention clearly seemed to improve the awareness among auxiliary nurse midwives/nurses about KMC. Improvements were also observed in the availability of infrastructure required for KMC and support logistics like facility for manual expression of breast milk, cups/suitable devices such as paladi cups for feeding small babies and digital weighing scale. Although the recording of information regarding LBW babies and KMC practice improved, still there is scope for much improvement. Conclusion: There is a commitment at the national level to promote KMC in every facility. The present experience shows the possibility of rolling out KMC in secondary level facilities with support from government functionaries.

  15. Aiming to be a breastfeeding mother in a neonatal intensive care unit and at home: a thematic analysis of peer-support group discussion in social media.

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    Niela-Vilén, Hannakaisa; Axelin, Anna; Melender, Hanna-Leena; Salanterä, Sanna

    2015-10-01

    Preterm infants are usually breastfed less than full-term infants, and successful breastfeeding requires a supportive environment and special efforts from their mothers. A breastfeeding peer-support group, utilising social media, was developed for these mothers in order to support them in this challenge. Mothers were able to discuss breastfeeding and share experiences. The purpose of this study was to describe the perceptions of breastfeeding mothers of preterm infants based on the postings in peer-support group discussions in social media. The actively participating mothers (n = 22) had given birth social media postings (n = 305) were analysed using thematic analysis. A description of the process of breastfeeding a preterm infant from the point of view of a mother was created. The process consisted of three main themes: the breastfeeding paradox in hospital, the 'reality check' of breastfeeding at home and the breastfeeding experience as part of being a mother. The mothers encountered paradoxical elements in the support received in hospital; discharge was promoted at the expense of breastfeeding and pumping breast milk was emphasised over breastfeeding. After the infant's discharge, the over-optimistic expectations of mothers often met with reality - mothers did not have the knowledge or skills to manage breastfeeding at home. Successful breastfeeding was an empowering experience for the mothers, whereas unsuccessful breastfeeding induced feelings of disappointment. Therefore, the mothers of preterm infants need evidence-based breastfeeding counselling and systematic support in a neonatal intensive care unit (NICU) and at home.

  16. Follow-Up of the Cues and Care Trial: Mother and Infant Outcomes at 6 Months

    Science.gov (United States)

    Feeley, Nancy; Zelkowitz, Phyllis; Shrier, Ian; Stremler, Robyn; Westreich, Ruta; Dunkley, David; Steele, Russell; Rosberger, Zeev; Lefebvre, Francine; Papageorgiou, Apostolos

    2012-01-01

    The long-term effects of the Cues intervention to reduce anxiety and enhance the interactive behavior of mothers of very low birth weight (VLBW) infants were investigated. A randomized trial comparing the Cues intervention to an attention control condition was conducted. A total of 122 mothers of newborns weighing less than 1,500 g were…

  17. Health workers' views on quality of prevention of mother-to-child transmission and post-natal care for HIV-infected women and their children

    NARCIS (Netherlands)

    Nguyen, T.A.; Oosterhoff, P.; Yen, P.N.; Hardon, A.; Wright, P.

    2009-01-01

    Background: Prevention of mother-to-child transmission has been considered as not a simple intervention but a comprehensive set of interventions requiring capable health workers. Viet Nam's extensive health care system reaches the village level, but still HIV-infected mothers and children have recei

  18. 危机管理在急诊护理管理中的应用%Application of crisis management in the acute care management

    Institute of Scientific and Technical Information of China (English)

    彭娟

    2013-01-01

    目的对危机管理在急诊护理管理中的应用进行探讨。方法通过对急诊护理中实施的危机因素和危机管理策略进行分析。结果在急诊护理管理中通过实施危机管理,有效的提高了护理人员的危机意识、工作积极性和反应能力,患者对护理人员的评价也得到了很大的提高。结论急诊科护理过程中存在很多危机因素,采用危机管理能够在很大程度上避免这些危机因素,有效提高急诊护理质量,降低事故发生率,应积极采用。%Objective To explore the application of crisis management in the acute care management. Methods Analyzed the crisis factors and crisis management strategies in acute care. Results Nurses significantly improved crisis sense, work enthusiasm, efficiency and responsiveness all had been improved;After the implementation of crisis management,the hospital's crisis was greatly reduced, the evaluation of patients achieved nurses greatly improved. Conclusion There are many crisis factors in emergency department nursing process,the use of crisis management can largely avoided these crisis factors, it can effectively improve the quality of emergency care, reduce the accident rate, should be actively used.

  19. [Strategies for integration of health care practices and sanitary surveillance in the context of the implementation of Rede Cegonha - a Brazilian mother and infant health care network].

    Science.gov (United States)

    Fernandes, Roberta Zanelli Sartori; Vilela, Maria Filomena de Gouveia

    2014-11-01

    Mother and infant mortality has been the scope of analysis throughout the history of public health in Brazil and various strategies to tackle the issue have been proposed to date. The Ministry of Health has been working on this and the Rede Cegonha strategy is the most recent policy in this context. Given the principle of comprehensive health care and the structure of the Unified Health System in care networks, it is necessary to ensure the integration of health care practices, among which are the sanitary surveillance actions (SSA). Considering that the integration of health care practices and SSA can contribute to reduce mother and infant mortality rates, this article is a result of qualitative research that analyzed the integration of these actions in four cities in the State of São Paulo/Brazil: Campinas, Indaiatuba, Jaguariúna and Santa Bárbara D'Oeste. The research was conducted through interviews with SSA and maternal health managers, and the data were evaluated using thematic analysis. The results converge with other studies, identifying the isolation of health care practices and SSA. The insertion of SSA in collectively-managed areas appears to be a potential strategy for health planning and implementation of actions in the context under scrutiny.

  20. Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal.

    Science.gov (United States)

    Legido-Quigley, Helena; Karanikolos, Marina; Hernandez-Plaza, Sonia; de Freitas, Cláudia; Bernardo, Luís; Padilla, Beatriz; Sá Machado, Rita; Diaz-Ordaz, Karla; Stuckler, David; McKee, Martin

    2016-07-01

    Although Portugal has been deeply affected by the global financial crisis, the impact of the recession and subsequent austerity on health and to health care has attracted relatively little attention. We used several sources of data including the European Union Statistics for Income and Living Conditions (EU-SILC) which tracks unmet medical need during the recession and before and after the Troika's austerity package. Our results show that the odds of respondents reporting having an unmet medical need more than doubled between 2010 and 2012 (OR=2.41, 95% CI 2.01-2.89), with the greatest impact on those in employment, followed by the unemployed, retired, and other economically inactive groups. The reasons for not seeking care involved a combination of factors, with a 68% higher odds of citing financial barriers (OR=1.68, 95% CI 1.32-2.12), more than twice the odds of citing waiting times and inability to take time off work or family responsibilities (OR 2.18, 95% CI 1.20-3.98), and a large increase of reporting delaying care in the hope that the problem would resolve on its own (OR=13.98, 95% CI 6.51-30.02). Individual-level studies from Portugal also suggest that co-payments at primary and hospital level are having a negative effect on the most vulnerable living in disadvantaged areas, and that health care professionals have concerns about the impact of recession and subsequent austerity measures on the quality of care provided. The Portuguese government no longer needs external assistance, but these findings suggest that measures are now needed to mitigate the damage incurred by the crisis and austerity.

  1. Knowledge and practice of mothers/care-takers towards diarrhoea and its treatment in rural communities in Ethiopia.

    Science.gov (United States)

    Ketsela, T; Asfaw, M; Belachew, C

    1991-10-01

    Diarrhoeal diseases are major causes of childhood morbidity and mortality in developing countries. Knowledge and practices of mothers or other care-takers of children are important determinants of the occurrence or outcome of diarrhoeal diseases. Base-line information on these variables is also needed for developing health education programmes and for formulating national policy on home fluid therapy. This study was conducted with the objectives of assessing the knowledge and practice of mothers and other caretakers of children towards diarrhoeal diseases and the sociodemographic correlates of adequate knowledge and practice. A study was conducted in the rural North, South, East and West Shewa Administrative Regions in April, 1990. A two-stage cluster sampling proportionate to size was used to select a total of 750 mothers or other caretakers. These were interviewed by trained and supervised health workers who used a pretested questionnaire. The three major ethnic groups were Oromo, Guragie and Hadya. Of the total respondents, 79.3% were illiterate, 78.5% got their water from unprotected sources, 88.9% had no latrines, 80.4% had no access to mass media and 7.1% spent more than 2 hours to reach to the nearest health facilities. Only 2.6% and 5.7% of mothers had adequate knowledge and practice on diarrhoea or its treatment, respectively. Age and educational level of mothers or other caretakers were found to be positively associated with adequate knowledge and practice towards diarrhoea and its treatment. The study clearly indicated that health education messages have not been effectively disseminated to the rural population. It is, therefore, strongly recommended that the Diarrhoeal Diseases Control Programme strengthens its communication activities through increasing persuasion of health workers who could serve as effective means of reaching the population who have access to health services.

  2. The crisis as catalyst for reframing health care policies in the European Union

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    Helderman, J.K.

    2014-01-01

    Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare st

  3. Evaluation of the Effect of Sociodemographic Characteristics on the Satisfaction of Mothers in Neonatal Intensive Care Units in Turkey

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    Fatma Yılmaz

    2016-03-01

    Full Text Available Background: Patient and parent satisfaction is a significant indicator for the evaluation of quality of care in healthcare systems. This study aimed to evaluate the effect of sociodemographic characteristics on the satisfaction of the parents of newborns admitted in neonatal intensive care units (NICUs in maternity and infant disease hospitals. Methods: This descriptive study was conducted on 113 mothers with infants admitted in the NICU of a state hospital in Turkey during April 1-September 30, 2013.Data were collected using sociodemographic questionnaire and Pediatric Quality of Life Inventory (PedsQL healthcare satisfaction scale. Data analysis was performed using descriptive statistics (mean and percentage, T-test, Mann-Whitney U test, and Kruskal-Wallis test. Results: In this study, mean score of maternal satisfaction with NICU services was 65.66±20.01. No statistically significant differences were observed between maternal age, PedsQL satisfaction subscales, and total score of satisfaction. Moreover, statistically significant associations were observed between the following variables: maternal training and total satisfaction, employment status and subscales of PedsQL, technical skills and general satisfaction, and social security status and emotional support. However, no statistically significant differences were observed between the sociodemographic characteristics of newborns, total score of satisfaction, and mean scores of PedsQL satisfaction subscales in mothers. Conclusion: According to the results of this study, level of maternal satisfaction with NICU services was higher than the international average. Therefore, it is recommended that NICU nurses offer sufficient emotional support for both mothers and neonates in this unit and allow mothers to stay with their infants during hospitalization. Furthermore, it is suggested that training programs be implemented on effective communication skills between nurses and patients.

  4. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: A crossover trial

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    McNaughton Kathryn

    2008-04-01

    Full Text Available Abstract Background Skin-to-skin contact, or kangaroo mother care (KMC has been shown to be efficacious in diminishing pain response to heel lance in full term and moderately preterm neonates. The purpose of this study was to determine if KMC would also be efficacious in very preterm neonates. Methods Preterm neonates (n = 61 between 28 0/7 and 31 6/7 weeks gestational age in three Level III NICU's in Canada comprised the sample. A single-blind randomized crossover design was employed. In the experimental condition, the infant was held in KMC for 15 minutes prior to and throughout heel lance procedure. In the control condition, the infant was in prone position swaddled in a blanket in the incubator. The primary outcome was the Premature Infant Pain Profile (PIPP, which is comprised of three facial actions, maximum heart rate, minimum oxygen saturation levels from baseline in 30-second blocks from heel lance. The secondary outcome was time to recover, defined as heart rate return to baseline. Continuous video, heart rate and oxygen saturation monitoring were recorded with event markers during the procedure and were subsequently analyzed. Repeated measures analysis-of-variance was employed to generate results. Results PIPP scores at 90 seconds post lance were significantly lower in the KMC condition (8.871 (95%CI 7.852–9.889 versus 10.677 (95%CI 9.563–11.792 p CI 103–142 versus 193 seconds (95%CI 158–227. Facial actions were highly significantly lower across all points in time reaching a two-fold difference by 120 seconds post-lance and heart rate was significantly lower across the first 90 seconds in the KMC condition. Conclusion Very preterm neonates appear to have endogenous mechanisms elicited through skin-to-skin maternal contact that decrease pain response, but not as powerfully as in older preterm neonates. The shorter recovery time in KMC is clinically important in helping maintain homeostasis. Trial Registration (Current

  5. Traditional Baby Care Practices of Mothers of Children Aged 6-12 Months in The Provincial Centre of Trabzon, Turkey

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    Ilknur Kahriman

    2011-02-01

    Full Text Available Aim: To evaluate traditional baby care practices employed by mothers in the Turkish province of Trabzon. Materials and methods: This descriptive study was planned around babies born in the provincial center of Trabzon between 1 June and 31 December, 2005, and aged 6-12 months at the time of the research. Data were collected in July-September 2006. In order to determine sampling size the prevalence of mothers using traditional practices was calculated at 50%, with a deviation of 0.05, giving a sample size of 384 mothers, the final number being put at 400. The study was performed at six clinics selected on the basis of settlement location and socioeconomic level out of 11 health clinics in the city center of the province of Trabzon. Data in the study are presented as numbers, and percentage distributions as mean±standard deviation. Results: It was determined that 69.8% of mothers breastfed their babies immediately and that 91.3% gave them colostrum. It was also determined that 3.7% of mothers resorted to various practices in order to ensure a male or female baby, 44.5% in order to facilitate labor, 25% in order to avoid puerperal fever, 63.5% in order eliminate postnatal pain, 88% to prevent their babies smelling, 86.2% for the shedding of the umbilical cord, 54.2% to protect their babies against jaundice, 73.7% to protect their babies from the evil eye, 26.2% so their babies would be good-looking and 40.7% to safely complete the first 40 days after childbirth. The main practices having a harmful effect on health in the study were swaddling, salting the baby, waiting for the call to prayer before breastfeeding the baby after birth and not giving colostrum. Conclusions: Traditions were observed to have an impact and to be persisting in child care in Trabzon. This suggests it will be useful for health personnel working in the field of infant care to evaluate the traditional characteristics in the locations where they work and to correct negative

  6. My mother

    Institute of Scientific and Technical Information of China (English)

    张旭

    2007-01-01

    @@ My mother is a farmer. She is thirty-five years old. She is verytall. She has big eyes and long hair.She is very hard-working and kind.As my father works a place far away from us, she does all the housework every day. She loves me and loves my grandparents. My grandparents are both over seventy years old. She always looks after them very carefully. My grandmother is often ill, so my mother always buys some meat, fish and eggs for her. My mother gets on well with them. She makes our family become very harmonious.My grandmother often says my mother is better than her own daughter.

  7. Knowledge attitude and practices for antenatal care and delivery of the mothers of tea garden in Jalpaiguri and Darjeeling districts, West Bengal

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    Prabir Kumar Manna, Debasis De and Debidas Ghosh

    2011-01-01

    Full Text Available The present study aimed to access the influence of socioeconomic factors on antenatal care and delivery practices of the mother of North Bengal. A community based study was carried out among 1772 families of the 7 blocks of the two districts. Various socio economic factors were considered for the antenatal care and delivery practices. We also tried to find out the relationship between antenatal check up with perinatal mortality. The study shows that the muslim mothers, Scheduled tribe mothers, non -educated and mothers with higher age group are less interested about ANC. Family income 2000/- month showing 62.42% ANC coverage. We found that only 7.11% mother used Govt. hospital and 2.65% used private clinic. The mother with medical problems and obstetric problems has high ANC coverage. So, socioeconomic factors significantly influence the antenatal coverage and delivery practices. Hence initiative may be taken at Government and non government levels to raise knowledge, attitude and practices for the improvement of antenatal care and delivery practices of the mother at these zones.

  8. Janani Suraksha Yojana : Its utilization and perception among mothers and health care providers in a rural area of North India

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    Vikas Kumar

    2015-04-01

    Full Text Available Background: Janani Suraksha Yojana (JSY is a maternal protection scheme that promotes institutional delivery by providing cash incentive to the mothers who deliver their babies in a health facility. With the purpose of improving maternal and neo-natal mortality and morbidity indicators, the investment and emphasis on JSY is continued. Utilization pattern and perception in the community regarding a particular health program is important to study for assessing the success or failure of the program. Objectives: To assess the utilization of JSY and its perception among mothers and health care providers. Materials and Methods: A descriptive, cross-sectional, community based study was Conducted at Agra district of Uttar Pradesh, among 246 married women of reproductive age group who had childbirth after JSY implementation for assessing their utilization pattern and perception regarding JSY services. Perception regarding the strengths and weaknesses of JSY among the health care providers was also studied. Results: Nearly half (53.25% of the mothers studied had an institutional delivery and were eligible for the JSY benefits. Postnatal home visits by Accredited Social Health Activists were done in 48% of home and 100% of institutional deliveries. Nearly half (48.09% of the beneficiaries were benefited by free transport facility under JSY. Although all of the health care providers perceived JSY as beneficial for improving maternal health, 44% of them had the notion that cash incentives under JSY can have a negative effect on family planning practices. Conclusion: The utilization rate of the JSY services was found to be low in certain aspects like institutional deliveries, transport facility etc., and there is scope for improvement.

  9. Childhood malaria in the Niger delta area of Nigeria:mothers/care givers 'perception,definition and treatment practices

    Institute of Scientific and Technical Information of China (English)

    Idogun ES; Airauhi LU

    2009-01-01

    Objective:The objective of the study was to evaluate mothers/care givers perception of malaria,their treat-ment practices and the effects on the outcome of malaria.Methods:Four hundred and sixty children were en-rolled and their mothers/care givers interviewed.The children were screened for malaria parasitaemia and there after,blood specimens were obtained for biochemical and haematological evaluation from those children who met the criteria and tested positive to P.falciparum parasites.Packed cell volume,electrolytes,urea, creatinine,plasma glucose,and serum bilirubin were analyzed.Results:A total of 460 children were studied, 233 (50.7%)males and 227 (49.3%)females.Mild malaria cases were 112 (24.3%)and severe malaria 348 (75.7%).Those who presented early 106 (23.0%)and those who presented late 354 (77.0%).Per-ception and definition of malaria as well as the treatment seeking behaviors vary significantly with the level of education of the mothers and care givers.Those without formal education 68 (51.9%)wrongly perceived that the etiology of malaria can only be diagnosed by native doctors compared to those with primary six education 61 (26.5%)and junior secondary education 10 (10.1%).Only 43 (9.3%)gave the correct dose of chloro-quine syrup to their sick children,while 32 (7.0%)gave at sub optimal doses.Conclusion:Wrong percep-tion of malaria especially the complicated malaria and wrong treatment practices are major contributory factors to the high mortality and morbidity of malaria in Nigeria.There is therefore a need for health education to cor-rect the wrong ideas about the cause and treatment practices of malaria as part of malaria control programme.

  10. Neonatal nurses' knowledge of and attitudes toward caring for cocaine-exposed infants and their mothers.

    Science.gov (United States)

    Ludwig, M A; Marecki, M; Wooldridge, P J; Sherman, L M

    1996-03-01

    The knowledge, attitudes, and backgrounds of 215 nurses employed in the nurseries of six hospitals were studied by means of a questionnaire survey. The nurses' attitudes toward the mothers of cocaine-addicted infants were found to be generally negative and/or judgmental and their knowledge to be low. More experience with nursing cocaine-addicted infants and greater acuity of the neonatal unit in which the nurse worked correlated with more positive attitudes toward the infants but not toward their mothers. Knowledge and attitude correlated positively with formal education, inservice education, and self-education, but the correlations were weak.

  11. Integrating the teaching-learning process of Occupational Therapy students and the care of mothers of babies at risk during hospitalization

    Directory of Open Access Journals (Sweden)

    Regina Helena Vitale Torkomian Joaquim

    2016-03-01

    Full Text Available Introduction: This study approaches the process of teaching-learning of a group of occupational therapy students to act in the care of mothers of babies at risk in the hospital context. It is linked to a community project, supported by the ‘Programa de Extensao Universitaria’. Objective: It aimed to qualify the students for understanding the risk rising, the initial mother-baby bond in the hospital environment, the monitoring of the child development and troubleshooting, as well as to see themselves as subjects of their own training. Method: Participants were six students, three teachers, 26 mothers and their 28 babies. The procedures had been developed in three articulated axles: practice, theoretical basis and invitation to reflection, each axle guided by one of three teachers. There were 65 meetings; 27 of the group of mothers, 11 of the group for theoretical overviews and 27 of the reflection group. Six students have completed their participation in the study, having achieved qualification for the care of occupational therapy to mothers of babies at risk during hospitalization and at home after discharge, as well as the co-responsibility with people and served family. All 26 mothers received care in the nursery; 25 of them in addition to the nursery, were treated at mothers group and 6 in addition to the nursery and the group, were visited at home. Conclusion: This study made it possible to contemplate two subjects with the same priority: the mother and her baby, as subjects of the attention and care of an occupational therapist and the student, as the subject of the attention and care of the teacher of occupational therapy.

  12. Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model

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    Pablo Martínez

    2016-01-01

    Full Text Available Objective to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD. Methods prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36. The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. Results a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93 and item 5 (OR 0.48, 95%CI: 0.21-1.09, and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06. Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. Conclusion it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS, scarce/no panic/fear (item 5 of EPDS, and no history of depression, as it is likely that these women do not initiate treatment.

  13. Availability of Reproductive Health Care Services at Schools and Subsequent Birth Outcomes among Adolescent Mothers

    Science.gov (United States)

    Madkour, Aubrey S.; Xie, Yiqiong; Harville, Emily W.

    2016-01-01

    Background: Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. Methods: Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants…

  14. Knowledge, perception and utilization of postnatal care of mothers in Gondar Zuria District, Ethiopia: a cross-sectional study.

    Science.gov (United States)

    Tesfahun, Fikirte; Worku, Walelegn; Mazengiya, Fekadu; Kifle, Manay

    2014-12-01

    Mothers and their newborns are vulnerable to illnesses and deaths during the postnatal period. More than half a million women each year die of causes related to pregnancy and childbirth. The majority of deaths occur in less developed countries. Utilization of postnatal care (PNC) service in Ethiopia is low due to various factors. These problems problem significantly hold back the goal of decreasing maternal and child mortality. To assess mothers' knowledge, perception and utilization of PNC in the Gondar Zuria District, Ethiopia. Our study is a community-based, cross-sectional study supported by a qualitative study conducted among 15-49 years mothers who gave birth during the last year. A multistage sampling technique was used to selected participants; structured questionnaires and focus group discussions were used to collect data. Data were entered into EPI info version 3.5.1 and exported into SPSS version 16.0 for the quantitative study and thematic framework analysis was applied to the qualitative portion. The majority of the women (84.39 %) were aware and considered PNC necessary (74.27 %); however, only 66.83 % of women obtained PNC. The most frequent reasons for not obtaining PNC were lack of time (30.47 %), long distance to a provider (19.25 %), lack of guardians for children care (16.07 %), and lack of service (8.60 %). Based on the multivariate analysis, place of residence (AOR 2.68; 95 % CI 1.45-4.98), distance from a health institution (AOR 2.21; 95 % CI 1.39-3.51), antenatal care visit (AOR 2.60; 95 % CI 1.40-5.06), and having decision-making authority for utilization (AOR 1.86; 95 % CI 1.30-2.65) were factors found to be significantly associated with PNC utilization. Mothers in the study area had a high level of awareness and perception about the necessity of PNC. Urban women and those who displayed higher levels of autonomy were more likely to use postnatal health services.

  15. CAN MOTHERS CARE FOR ACUTE DIARRHOEAL DISEASE OF THEIR UNDER FIVE CHILDREN EFFECTIVELY AT HOME? A CROSS SECTIONAL STUDY IN SLUM COMMUNITY IN BANKURA

    Directory of Open Access Journals (Sweden)

    Eashin

    2015-09-01

    Full Text Available BACKGROUND : Diarrhea is one of the major causes of morbidity and mortality in under - five children in developing world like India. WHO & Integrated Management of Neonatal and Childhood Illness ( IMNCI diarrheal management guidelines encourage mothers and caretakers to treat diarrhoea at home by giving ORS and oral rehydration therapy (ORT to reduce the duration , severity , hospitalization , overall medical costs and death . OBJECTIVES : i t o assess the Knowledge , Attitude and Practice (KAP of mothers on home care of acu te diarrhoeal diseases and ii To find out the factors affecting it , if any. MATERIALS AND METHODS : Community based cross - sectional study was conducted for three months duration among 76 mothers of slum - dwelling under five children (2 - 59 months in Bankura . Information about KAP on management of acute diarrhoeal diseases was obtained by interview of mother using schedule based on WHO & IMNCI diarrheal management guidelines. RESULTS: In this study , majority mothers (64.7% of children were of BPL category an d mean schooling years of mothers was 7.97±4.12. Majority of mothers’ knowledge was average (66.2% and favourable attitude was (76.5%. While 72.2% mothers performed average practice ; only 9.3% of mothers performed good practice. Education , occupation and socio - economic status (SES were the influencing factors of KAP on home care of diarrhea. Conclusions : A lot of gap was still present in knowledge , attitude and practice of home management of acute diarrheal diseases in an urban slum of Bankura. Health pro viders are needed to be skilled , motivated to percolate the information to mothers regarding home care of diarrhea.

  16. Perceptions And Actions Of Healthcare Professionals Regarding The Mother-child Relationship With Premature Babies In An Intermediate Neonatal Intensive Care Unit: A Qualitative Study

    OpenAIRE

    Fleury C.; Parpinelli M.A.; Makuch M.Y.

    2014-01-01

    Background: The mother-child interaction after delivery may be hampered when the newborn baby is hospitalized. The objective of the study was to understand perceptions and actions of healthcare professionals (HCPs), working in an intermediate neonatal intensive care unit (NICU), regarding mother-child relationship of hospitalized premature babies in the first weeks after delivery and the professionals' support for the development of this relationship within an NICU environment. The psychoanal...

  17. Mother's early experience of taking care of a child later diagnosed with autism

    DEFF Research Database (Denmark)

    Lemcke, Sanne; Thorlund Parner, Erik; Bjerrum, Merete;

    , it is possible to identify children with ASD in the DNBC and analyses of the information in the interviews will provide information about signs of ASD before the age of two years. Results: The study is ongoing. The study cohort consisted in august 2010 of 76.441 children; of which 617 children were diagnosed...... with ASD. Deviations reported by mothers when the child was 6 months, showed a statistically significant different pattern for breastfeeding and crying in children later diagnosed with ASD compared to the whole cohort. At 18 months only deviations in sleeping showed statistically significant increased risk......Introduction and objectives: The aim is to study whether prospectively collected information from mothers regarding deviations in their child’s development and behaviour during the first two years of life can predict the risk of autism spectrum disorder (ASD) later in life. Methods: In the Danish...

  18. FACTORS LEAD TO DEPRESION DURING ANTENATAL CARE EVERY TRIMESTER OF PREGNANT MOTHER

    OpenAIRE

    Eddy Surya Kurniawan; Nyoman Ratep; Wayan Westa

    2013-01-01

    The most important factor in reducing maternal and infant mortality rates began during pregnancy. In 2000, one in twenty children die before reaching the age of five years and a mother died of childbirth out of every 325 live births. The death rate in research mainly indicated comparable levels of depression due to stress in pregnant women. The occurrence of symptoms of depression during the perinatal period can be easily recognized. Depression during pregnancy is a common mood disorder such ...

  19. Cultural dilemmas of choice: Deconstructing consumer choice in health communication between maternity-care providers and ethnic Chinese mothers in New Zealand.

    Science.gov (United States)

    Guo, Shujie Phoebe; Munshi, Debashish; Cockburn-Wootten, Cheryl; Simpson, Mary

    2014-01-01

    This article critically analyses the discourse of consumer choice embedded in health communication interactions between maternity-care providers and migrant ethnic Chinese mothers in New Zealand. Findings indicate that Chinese mothers, as the customers of the New Zealand maternity and health care services, are encouraged to "fit in" with the Western discourse of choice. However, the mothers' cultural predispositions for childbirth and communication have a significant impact on the ways in which they respond to and resist this discourse. Drawing on theoretical insights from postcolonialism and Third World feminism, this article contributes to the study of intercultural health communication by examining cultural dilemmas in the discourse of choice that is often taken for granted in Western health contexts. In doing so, it builds a platform for an inclusive maternity care and health environment in multicultural societies.

  20. ASSESSMENT OF KNOWLEDGE ABOUT IMMUNIZATION OF UNDER FIVE CHILDREN AMONG MOTHERS ATTENDING OUTPATIENT DEPARTMENT OF PEDIATRICS IN A TERTIARY CARE HOSPITAL IN KOLLAM, KERALA

    Directory of Open Access Journals (Sweden)

    Ahmad Nadeem

    2015-07-01

    Full Text Available BACKGROUND : Immunization is the most cost effective public health intervention to reduce childhood morbidity and mortality. Thousands of children can be saved from vaccine preventable diseases each year by immunization. The knowledge of mothers’ is an important factor for better immunization coverage. Less knowledge affects decision making regarding immunization. OBJECTIVES: To assess the knowledge about immunization of under five children among mothers a ttending outpatient department of paediatrics in a tertiary care hospital in Kollam, Kerala and to find out the association of the knowledge level of mothers with some selected variables. MATERIAL AND METHODS : A Cross sectional study was done among mothers of under five children attending the OPD of pediatrics in a tertiary care hospital in Kollam, Kerala from 1 st to 30 th May, 2014. The sample size was 210 and simple random sampling was used. Statistical analysis was done and chi - square test & percentages w ere calculated. RESULT: 93.8% of mothers knew that vaccines are beneficial for their child. 58% were aware about the side effects of few vaccines. 50% of mothers believed that as polio is eradicated from India, there is no need to give polio vaccine. 35% o f mothers acquired knowledge regarding immunization through health workers. All of them had knowledge about polio vaccine but only half of them knew about rotavirus vaccine. 60% mothers believed that multiple vaccines are beneficial although 26% hold their view that it has no benefit at all. 39.5% of mothers’ had adequate knowledge about immunization. It was positively associated with education, working class and high socio - economic status of mothers. CONCLUSION: There are several loopholes in the mother’s knowledge regarding immunization. Many of them had no knowledge about optional vaccines. There is a need to improve knowledge regarding immunization among general population. Adequate information about completin g the

  1. Efficacy of Evidence Based Care on Care Quality of Mother and Infant in 3 Teaching Hospitals: A Protocol

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    Davoodi R

    2014-04-01

    Full Text Available Introduction: Reducing infant mortality rate during delivery is a priority in the world. Even with the existing activities that take place in hospitals, due to a lack of simple and effective methods, this mortality reduction trend is slow. The objects of this study were to apply and investigate the effects of WHO evidence-based guidelines for safe delivery on the quality of maternal and neonatal support. Materials and Methods: This is a semi-experimental study with external control. After forward and backward translation of WHO safe childbirth checklist, in an expert meeting irrelevant/infeasible items in the checklist were omitted or modified. Personnel performance on checklist items was evaluated by researchers who were present in the whole period of mother and neonate hospitalization in two phases. Intervention was done in two hospitals and one hospital was considered as control. At first, the instructions were provided for all the collaborating personnel in forms of pamphlets, posters and booklets and after two weeks second phase began by arranging an educational session for personnel. The data of these two phases is being compared. Discussion: If our prior assumption be proved, we anticipate improvements in some items of checklist .Some of these items are skin contact, breast feeding rate in first hour postpartum, hand hygiene, and mother's knowledge regarding the parturition during the time in which they are hospitalized together with a decrease in episiotomy infection/dehiscence prevalence. These changes can be regarded as an overall promotion in maternal/neonatal support.

  2. Application of a general health policy model in the American health care crisis.

    Science.gov (United States)

    Kaplan, R M

    1993-05-01

    There is near consensus that the US health care system requires reform. Only a quarter of the American public has faith in the current system. Health care was one of the major issues considered in the 1992 US presidential election and the search for innovative solutions has transcended administrations.

  3. Providing psychological care using crisis helpline to adolescents with suicidal intent

    Directory of Open Access Journals (Sweden)

    O.V. Vihristyuk

    2014-08-01

    Full Text Available We consider the possibility of a crisis psychological aid to children with suicidal intentions by means of telephone counseling. We shows the profile of a typical adolescent, requesting assistance from the hotline on suicidal thoughts, intentions: it is an introverted girl aged 14 to 18 years, in a depressed mood with a predominance of anxiety, fears, related to traumatic situation, experiencing feelings of hopelessness, loneliness, thinking of the situation as hopeless, going through a break in romantic relationships. The most characteristic motifs of suicide is the desire to “get away from the pain” and/or to revenge the others, make them regret about her. We specified the main tasks of a helpline specialist solved in the course of counseling: prevention of suicidal behavior, information on the possible forms of psychological aid, direct work with a customer requesting aid on his formed suicidal intent.

  4. Development Status of 4-24 Months Children Born to Teenage Mothers Referred to Health Care Centers in Yasuj, 2013

    Directory of Open Access Journals (Sweden)

    Afraz SF

    2015-06-01

    Full Text Available Background & aim: A developmental delay in children is considered as one of the world's health problems in developing and developed countries. This has a massive impact on children’s health and eventually has broader scale effect on society. The purpose of this study was to assess the developmental status of children age 4-24 months to teenage mothers referred to health care centers related to Yasuj University of Medical Sciences, Yasuj, Iran, in 2013. Methods: The present cross-sectional study was conducted on 200 mothers less than 19 years of age with children of 4-24 months referred to health centers of Yasuj University of Medical Sciences which were selected by multistage sampling. Data collection was conducted using demographic, midwifery ages and stages questionnaire in children aged 24-4 months. The data were analyzed using descriptive statistics, t-test and chi-square test. Results: The results showed that the mean age of mothers during pregnancy were16.64±1.22 years with age range 12 to 18 years. Prevalence of delayed development in 4-24 month children was reported to be 7%. Most developmental delay was observed in gross motor area and the lowest was in the private personal and social domains. In this study, a significant difference was seen in birth weight between two groups of children, so that birth weight of children with developmental delay significantly lowers than children with normal development (P=0.027. Conclusion: the Pregnancy under the age of 19 years is considered as risk factors for children’s developmental disorder that by the implementation of appropriate education to reduce high-risk pregnancies in this age range can be prevented the developmental disorders and their adverse outcome.

  5. Identifying unmet mental health needs in children of formerly homeless mothers living in a supportive housing community sector of care.

    Science.gov (United States)

    Lee, Susanne S; August, Gerald J; Gewirtz, Abigail H; Klimes-Dougan, Bonnie; Bloomquist, Michael L; Realmuto, George M

    2010-04-01

    This study reports psychosocial characteristics of a sample of 111 children (K to 2nd grade) and their mothers who were living in urban supportive housings. The aim of this study was to document the various types and degree of risk endemic to this population. First, we describe the psychosocial characteristics of this homeless sample. Second, we compared this homeless sample with a grade-matched, high-risk, school-based sample of children (n = 146) who were identified as showing early symptoms of disruptive behaviors. Third, we compared the parents in both samples on mental health, parenting practices, and service utilization. Results showed that children living in supportive housing were in the at-risk range and had comparable levels of externalizing problems, internalizing problems, school problems and emotional strengths with the school-based risk sample receiving prevention services at a family support community agency. Mothers in supportive housing reported significantly higher psychological distress, less optimal parenting practices and greater service utilization. These findings are among the first to provide empirical support for the need to deliver prevention interventions in community sectors of care.

  6. Scaling up kangaroo mother care in South Africa: 'on-site' versus 'off-site' educational facilitation

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    van Rooyen Elise

    2008-07-01

    Full Text Available Abstract Background Scaling up the implementation of new health care interventions can be challenging and demand intensive training or retraining of health workers. This paper reports on the results of testing the effectiveness of two different kinds of face-to-face facilitation used in conjunction with a well-designed educational package in the scaling up of kangaroo mother care. Methods Thirty-six hospitals in the Provinces of Gauteng and Mpumalanga in South Africa were targeted to implement kangaroo mother care and participated in the trial. The hospitals were paired with respect to their geographical location and annual number of births. One hospital in each pair was randomly allocated to receive either 'on-site' facilitation (Group A or 'off-site' facilitation (Group B. Hospitals in Group A received two on-site visits, whereas delegates from hospitals in Group B attended one off-site, 'hands-on' workshop at a training hospital. All hospitals were evaluated during a site visit six to eight months after attending an introductory workshop and were scored by means of an existing progress-monitoring tool with a scoring scale of 0–30. Successful implementation was regarded as demonstrating evidence of practice (score >10 during the site visit. Results There was no significant difference between the scores of Groups A and B (p = 0.633. Fifteen hospitals in Group A and 16 in Group B demonstrated evidence of practice. The median score for Group A was 16.52 (range 00.00–23.79 and that for Group B 14.76 (range 07.50–23.29. Conclusion A previous trial illustrated that the implementation of a new health care intervention could be scaled up by using a carefully designed educational package, combined with face-to-face facilitation by respected resource persons. This study demonstrated that the site of facilitation, either on site or at a centre of excellence, did not influence the ability of a hospital to implement KMC. The choice of outreach

  7. Keeping Cool in a Crisis

    Science.gov (United States)

    Padgett, Raven

    2006-01-01

    Many schools are able to avoid disasters by creating a strong, deliberate crisis plan and knowing how to implement it effectively. Good crisis preparedness requires leadership from the top, a critical mass of trained staff members, careful planning, and excellent communication. This article discusses how to prepare for a crisis.

  8. Crisis, What Crisis?

    Science.gov (United States)

    Jones, Ken

    2010-01-01

    Responding to the recent work of Andrew Gamble, the article discusses the extent to which the British situation can be described in terms of crisis. It suggests that an essential element of crisis is that of political and social contestation, and explores the terms on which contestation is taking shape in and around British education.

  9. Health care professionals' perspectives on the requirements facilitating the roll-out of kangaroo mother care in South Africa

    Directory of Open Access Journals (Sweden)

    Wilma ten Ham

    2016-12-01

    Conclusion: Although certain requirements, such as personal alignment and reinforcing structures can be used in the roll-out of best practices, further research is desirable to promote fuller understanding of how to devise and apply the requirements in the wider adoption of best practices in South African health care settings.

  10. 医院护理危机管理及其应对策略%Management and Coping Strategies for Hospital Care Crisis

    Institute of Scientific and Technical Information of China (English)

    鞠建新

    2012-01-01

    Through the analysis of current situation of hospital nursing crisis, this paper expounds the characteristics of hospital care crisis from the cause, development and time three perspectives, interprets the principle to address nursing crisis for hospital managers, and concludes counter-measures for hospital care crisis management. The author hopes that the thesis can provide reference for hospital management in the future.%本文通过对当前医院护理危机现状的分析,从成因、发展以及时间三个角度阐述了医院护理危机的特性.诠释了医院管理者应对护理危机的原则,最后提出了医院护理危机管理的对策.希望该论文的阐述能对今后医院管理起到借鉴作用.

  11. Veterans Crisis Line

    Data.gov (United States)

    Department of Veterans Affairs — The caring responders at the Veterans Crisis Line are specially trained and experienced in helping Veterans of all ages and circumstances. Some of the responders are...

  12. COPD patients' medical care and support in Greece during financial crisis

    Directory of Open Access Journals (Sweden)

    Mitonas G

    2016-11-01

    Full Text Available George Mitonas,1 Alexia Juvana,2 Zoe Daniil,3 Chryssa Hatzoglou,4 Konstantinos Gourgoulianis3 1Diavata Health Center, Gennimatas General Hospital, 2Papageorgiou General Hospital, Thessaloniki, 3Pulmonary Medicine Department, University Hospital of Larissa, 4Physiology Department, Medical School, University of Thessaly, Larissa, Greece Background: The need to follow a multidisciplinary strategy in chronic obstructive ­pulmonary disease (COPD management and rehabilitation in community settings in Greece raises significant questions, given the severe austerity measures being imposed at present. The aim of this study was to investigate the clinical profile of patients with COPD along with the care provided in rural community settings in Greece.Methods: Two primary health care centers and 200 newly diagnosed patients over a 12-month period were involved in the study. A self-assessment questionnaire, including questions about smoking habits, the presence of comorbidities and chronic respiratory symptoms, as well as the COPD Assessment Test were used. Spirometry was performed with a dry spirometer. Obstructive spirometry was defined as forced expiratory volume in 1 second/forced vital capacity ratio <0.7, according to Global Initiative for Chronic Obstructive Lung Disease guidelines.Results: Males comprised 70% of the sample, with cough and sputum being the prominent signs. Regarding COPD staging, 68.5% were classified in stages I/II. Arterial hypertension and coronary heart disease were the most common comorbidities. Current smokers accounted for 88.5%, while 88% were heavy drinkers. A general practitioner made the diagnosis in 68.5% of the cases, among which offspring and spouses provided home care in 38% and 8% of the cases, respectively, while an informal caregiver other than a relative was reported in 34% of the cases. No caregiver (self-care was reported in 20% of the cases. All patients of stage III and IV had a COPD Assessment Test score >10

  13. Parental child-care practices of Slovenian preschoolers' mothers and fathers: The Family Environment Questionnaire

    Directory of Open Access Journals (Sweden)

    Maja Zupančič

    2004-09-01

    Full Text Available The paper reviews evidence on the construct validity and reliability of the newly developed Family Environment Questionnaire (FEQ, and presents data on the structure of socialisation practices the Slovenian parents use in daily interactions with their three-year-old children. The FEQ is a parent report measure designed to provide an assessment of individual differences in parental practices that are representative among the parents of preschool children in the given cultural community. Factor analysis of the 63 items reliably recovered a four-component solution in both, maternal and paternal self-reports indicating the following broad-band parenting practices: Authoritative Parenting, Ineffective Control, Power Assertion, and Stimulation. Variables loading high on more than one component and those that did not load on the same factor obtained from maternal and paternal data were excluded from further analyses. The 51 items that were retained and corresponded to the four factors demonstrate adequate internal consistency for both samples of respondents. In addition, parental stimulation was positively linked to authoritative parenting, while it was negatively related to ineffective control and power assertion. The mothers perceived themselves to be more authoritative and stimulative than did fathers, who described themselves as more power assertive and ineffective in control. The parent-pairs were also found to share, at least to some extent, similar parenting practices, whereas their self-perceived expression of these practices was not dependent on their child's gender.

  14. Pengaruh Musik Keroncong selama Pelaksanaan Kangaroo Mother Care terhadap Respons Fisiologis dan Lama Rawat Bayi dengan Berat Badan Lahir Rendah

    Directory of Open Access Journals (Sweden)

    Anita Rahmawati

    2015-11-01

    (LBW infants. Some care interventions in neonatal intensive care unit, such as infant massage, KMC and listening to music have advantage for infant growth in form of physiological responses and reduce LBW infant-nursing length. This study aimed to determine advantage of keroncong music toward LBW infant’s response during KMC and nursing length. The study design was quasi experimental using pretest and posttest using control group design. Population was mothers and LBW infants implementing KMC. Samples were 60 infants taken by purposive sampling. Inclusion criteria determined for LBW infants were having weight 1,500 – 2,499 gram, without considering pregnancy age, having ability to suckle though still weak, not suffering breathing distress. Meanwhile, exclusion criteria were infants with congenital disorder, sepsis symptoms and infants during therapy photo. Statistical test used paired t-test, independent t-test with p value 0.05. In conclusion, keroncong music influences on decrease of pulse, respiration during KMC and length of infant nursing.

  15. Caring, Employment, and Quality of Life: Comparison of Employed and Nonemployed Mothers of Adults with Intellectual Disability

    Science.gov (United States)

    Chou, Yueh-Ching; Pu, Cheng-Yun; Kroger, Teppo; Fu, Li-yeh

    2010-01-01

    The effects of caregiving on mothers of adults with intellectual disability was examined by determining whether there are differences in quality of life and related factors between mothers with different employment status. Study participants were 302 working-age mothers who had adult children with intellectual disability based on the 2008 census…

  16. Crisis and Crisis Scenarios

    DEFF Research Database (Denmark)

    Larsen, Øjvind

    2016-01-01

    This special issue of Nordicum-Mediterraneum contains select proceedings from the third meeting of the Nordic Summer University research circle called “Crisis and Crisis Scenarios: Normativity, Possibilities and Dilemmas”, held April 9th — 12th, 2015 at the Lysebu Conference Centre in Oslo, Norway....... The circle’s research program runs from 2014 to 2016 and is aimed at examining the concept of crisis as it is used today in academia and public discussion. In this collection of papers from the symposium we present some of the different ways in which the topic of the study group was addressed....

  17. Neurodevelopmental Impairment among Infants Born to Mothers Infected with Human Immunodeficiency Virus and Uninfected Mothers from Three Peri-Urban Primary Care Clinics in Harare, Zimbabwe

    Science.gov (United States)

    Kandawasvika, Gwendoline Q.; Ogundipe, Enitan; Gumbo, Felicity Z.; Kurewa, Edith N.; Mapingure, Munyaradzi P.; Stray-Pedersen, Babill

    2011-01-01

    Aim: The aim of this article is to document the risk of neurodevelopmental impairment (NDI) among infants enrolled in a programme for the prevention of mother-to-child transmission of HIV (human immunodeficiency virus) in Zimbabwe using the Bayley Infant Neurodevelopmental Screener (BINS). Method: We prospectively followed up infants at three…

  18. Effect of an educational intervention about midwifery students\\\\\\' knowledge and preparedness on oral health care in pregnant mothers

    Directory of Open Access Journals (Sweden)

    Simin Zahra Mohebbi

    2013-10-01

    Full Text Available   Background and Aims : As midwives are in frequent contact with pregnant mothers, they may play a key role in their oral health care (OHC. In this study, we aimed to evaluate the effect of an educational program on Tehran University of Medical Sciences midwifery students’ knowledge and preparedness on OHC in pregnant mothers. Materials and Methods: The midwifery third year students of central campus (n=29 were randomly selected as intervention group and their counterparts in Hemmat campus (n=33 as control. Students in both groups were asked to fill in a questionnaire included 8 demographic question and 18 OHC knowledge and one question on their preparedness to implement OHC. Then the educational intervention was implemented using lecture, demonstration of the correct methods of brushing and flossing on the models and role play method. The follow- up questionnaire was delivered 3 months later. Data were analyzed using Mann-Whitney test, T-test, Chi-Square test, ANOVA and Regression by SPSS software.   Results: The mean OHC in pregnancy knowledge score in intervention and control group were 26.7 and 24.8 at baseline which were changed into 48.5 and 29.1, respectively (P<0.001. Among the students 52.6% in the intervention group and 36.4% in the control group reported very high preparedness to implement OHC in pregnancy. These figures were 68.2% and 41.7% in the post-test.   Conclusion: The promising findings of this educational intervention comprising of both student and teacher-centered methods speak for possibility of improving these students knowledge and preparedness and implies on the necessity to incorporate the related course in midwifery education.

  19. Impact of the application of neurolinguistic programming to mothers of children enrolled in a day care center of a shantytown

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    Cláudio Torres de Miranda

    1999-03-01

    Full Text Available CONTEXT: Of the members of a family, the mother is without doubt the most important one, which provides justification for including an evaluation of her mental health as one of the variables to be considered as determining factors in each child’s level of development. OBJECTIVE: To assess the impact of the application of Neurolinguistic Programming (NLP on child development, home environment and maternal mental health. DESIGN: Randomised controlled trial. SETTING: The study included children enrolled in the municipal day care center of a shantytown in the City of São Paulo. PARTICIPANTS: 45 pairs of mothers and respective children between 18 and 36 months of age. MAIN MEASUREMENTS: Children’s development (Bayley scales; home environment variation (HOME; and maternal mental health (SRQ. Comparison between before and after the intervention was made in terms of children’s psychomotor development, home environment and maternal mental health. INTERVENTION: Application of the NLP technique to the experimental group and comparison with a control group. 1 - Experimental (EG, consisting of 23 children submitted to intervention by NLP; and 2 - Control (CG, with 22 children with no intervention. Length of intervention: 15 sessions of NLP. RESULTS: 37 children remained in the study (EG = 10, CG = 27. Variations in mental development (OR 1.21, IC 95% 0.0 to 23.08 in their home environment (Wilcoxon: p = 0.96 (before and p = 0.09 (after; in maternal mental health: p = 0.26, 2 df. CONCLUSIONS: There was a trend that indicated positive effects on the home environment from the intervention.

  20. A Different Class of Care: the Benefits Crisis and Low-Wage Workers.

    Science.gov (United States)

    Jones, Trina

    When compared to other developed nations, the United States fares poorly with regard to benefits for workers. While the situation is grim for most U.S. workers, it is worse for low-wage workers. Data show a significant benefits gap between low-wage and high-wage in terms of flexible work arrangements (FWAs), paid leave, pensions, and employer-sponsored health-care insurance, among other things. This gap exists notwithstanding the fact that FWAs and employment benefits produce positive returns for employees, employers, and society in general. Despite these returns, this Article contends that employers will be loath to extend FWAs and greater employment benefits to low-wage workers due to (1) concerns about costs, (2) a surplus of low-wage workers in the labor market, (3) negative perceptions of the skill of low-wage workers and the value of low-wage work, (4) other class-based stereotypes and biases, and (5) structural impediments in some low-wage jobs. Given the decline of unions and limited legislative action to date, the Article maintains that low-wage workers are in a "different class of care" with little hope for meaningful change on the horizon.

  1. Improving Pathways to Assessment and Care for Infants of Substance Abusing Mothers: Are We Getting It Right?

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    Joanna Alexander

    2015-03-01

    Full Text Available There is documented correlation between parental substance abuse, child maltreatment, and poor outcomes. In two health districts in Sydney, Australia (Site A and B, specialised clinics were established to provide comprehensive assessments for infants of substance abusing mothers (ISAM. We aimed to determine whether there was a difference in outcomes between infants who attended clinic versus those who did not; and to identify differences in the pathways to care between sites. We analysed child protection reports and available health markers of all ISAM referrals in 2011. We held stakeholder meetings with services involved with ISAM in both sites; to describe service components; strengths and weaknesses of pathways. Fifty-five per cent (11/20 attended clinic in Site A; 80% (25/31 in Site B. Three-quarters of ISAM had at least one referral to child welfare; child protection service involvement was more common in those who attended. Immunisation status was lower than the national Australian average; approximately half were seen by community nursing services. Gaps in services, lack of database, and differences in pathways between sites were identified. Attending clinics correlates with child protection service involvement and may afford health protection. Transparent communication, service integration, and shared learning can improve outcomes for this vulnerable group.

  2. ANXIETY AND ATTACHMENT TO THE MOTHER IN PRESCHOOLERS RECEIVING PSYCHIATRIC CARE: THE FATHER-CHILD ACTIVATION RELATIONSHIP AS A PROTECTIVE FACTOR.

    Science.gov (United States)

    Gaumon, Sébastien; Paquette, Daniel; Cyr, Chantal; Émond-Nakamura, Mutsuko; St-André, Martin

    2016-07-01

    This 49-family study is the first to explore the father-child relationship in a clinical population of preschoolers (at a tertiary care child psychiatry clinic) and to examine its relation to child anxiety and attachment to the mother. A moderation model of the father-child activation relationship on the relation between attachment to the mother and child anxiety was tested and discussed. Analyses confirmed the expected independence between mother-child attachment and father-child activation as well as the association between mother-child attachment and anxiety. The highest levels of anxiety were found in insecure children, and more specifically, in insecure-ambivalent children and insecure disorganized-controlling children of the caregiving subtype. Hypotheses regarding the relation between anxiety and activation were only partially confirmed. Finally, the activation relationship with the father was shown to have a moderating effect on the relation between attachment to the mother and child anxiety; activation by the father may be considered either a protective or a risk factor. Results for this clinical population of young children are discussed in the light of attachment theory and activation relationship theory. The study's findings have the potential to contribute to the development of preventative, diagnostic, and intervention programs that take both parental figures into account.

  3. Prevalence and barriers to HIV testing among mothers at a tertiary care hospital in Phnom Penh, Cambodia. Barriers to HIV testing in Phnom Penh, Cambodia

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    Sasaki Yuri

    2010-08-01

    Full Text Available Abstract Background One-third of all new HIV infections in Cambodia are estimated to be due to mother-to-child transmission. Although the Ministry of Health adopted a policy of provider-initiated HIV testing and counseling (PITC, nearly a quarter of pregnant mothers were not tested in 2007. Greater acceptance of HIV testing is a challenge despite Cambodia's adoption of the PITC policy. Methods A hospital-based quantitative and cross-sectional survey was conducted to assess the prevalence of and barriers to HIV testing among mothers after delivery at the National Maternal and Child Health Center in Phnom Penh. The Center is one of the largest maternal and child care hospitals in the country to offer PITC services. All 600 eligible mothers who were admitted to the hospital after delivery from October to December 2007 were approached and recruited. Data were collected via a semi-structured questionnaire. Results The prevalence of HIV testing among women who delivered at the hospital was 76%. In multivariate logistic regression, factors such as the perceived need to obtain a partner's permission to be tested (OR=0.27, 95% CI=0.14-0.51, p Conclusion To achieve greater acceptance of HIV testing, counseling on HIV prevention and treatment must be provided not only to mothers but also to their partners. In addition, utilization of non-laboratory staff such as midwives to provide HIV testing services in rural health facilities could lead to the greater acceptance of HIV testing.

  4. Child-care and feeding practices of urban middle class working and non-working Indonesian mothers: a qualitative study of the socio-economic and cultural environment.

    Science.gov (United States)

    Roshita, Airin; Schubert, Elizabeth; Whittaker, Maxine

    2012-07-01

    The double-burden problem of malnutrition in many developing countries is occurring against a backdrop of complex changes in the socio-economic and cultural environment. One such change is the increasing rate of female employment, a change that has attracted researchers to explore the possible relationships between maternal employment and child nutritional status. The present study employs a qualitative approach to explore the socio-economic and cultural environments that may influence child-care practices in families of working and non-working mothers with children of different nutritional status and types of domestic caregiver. It was conducted in Depok, a satellite city of Jakarta, Indonesia, and was designed as a case study involving 26 middle class families. The children were categorized as underweight, normal weight and obese, and caregivers were grouped as family and domestic paid caregivers. Twenty-six mothers and 18 caregivers were interviewed. Data were analysed by the constant comparative approach. The study identified five emerging themes, consisting of reason for working and not working, support for mother and caregivers, decision maker on child food, maternal self-confidence and access to resources. It confirmed that mothers and caregivers need support and adequate resources to perform child-care practices regardless of the child nutritional and maternal working status. Further research is required into how Indonesian mothers across a range of socio-economic strata can have increased options for quality child-care arrangements and support with child feeding. Additionally, this paper discussed the importance of enhanced dissemination of health information addressing both child underweight and obesity problems.

  5. Antibiotic resistance: what are the opportunities for primary care in alleviating the crisis?

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    Malene Plejdrup Hansen

    2015-02-01

    Full Text Available •Preventing patients from developing an acute respiratory infection will obviate any need for antibiotic use downstream. Hygiene measures (such as physical barriers and hand hygiene, and possibly vaccination and exercise, may be effective for preventing some acute respiratory infections. •Patients overestimate the effectiveness of antibiotics: therefore public campaigns might contribute to minimise misconceptions.•Complementary and alternative medicines (e.g. zinc, caffeine, vitamin C, probiotics and Echinacea are often proposed for preventing and treating acute respiratory infections, but evidence for efficacy is scarce.•General practitioners’ attitudes towards antibiotic prescribing are a major factor in the prescribing for acute respiratory infections. Professional interventions with educational components are effective, although they have modest effects, and are expensive. •General practitioners’ perceptions – that mistakenly assume as a default that patients want antibiotics for their acute respiratory infections – are often wrong. Shared decision making might be a solution, as it enables clinician and patient to participate jointly in making a health decision, having discussed the options together with the evidence for their harms as well as benefits.•General practitioners’ diagnostic uncertainty – often leading to an antibiotic prescription ‘just in case’ – might be addressed by exploiting strategies such as safety-netting, e.g. establishing with the patient a priori clearly defined actions to take if the course of the illness deviates from the expected.However, there is scant research undertaken in this area and evaluation of this strategy and its effects on patient care is needed.•The best strategies for the future are likely to focus on the best combination of the most effective interventions rather than any single one.

  6. Crisis! what crisis?

    OpenAIRE

    Bednar, Peter; Welch, Christine

    2010-01-01

    There is a crisis discussed in the discipline of Information Systems. Those who perceive such a crisis to exist are by no means agreed, as to its nature and origins. Our inquiry shows that there are a three distinct ‘crises’ being debated. The first of these relates to the substance and boundaries of the discipline itself and if it is even a discipline at all. Another ‘crisis’ relates to higher education and a fall in demand for IS courses from new students. Commentators perceive this to thre...

  7. Supporting mothers to bond with their newborn babies: Strategies used in a neonatal intensive care unit at a tertiary hospital in Malawi

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    Ellemes Phuma-Ngaiyaye

    2016-12-01

    Results: It was showed that nurses and midwives used different approaches to facilitate maternal–newborn bonding. The responses revealed two major themes: mother–newborn interaction and mother–nurse/midwife interaction. Mother–newborn interaction involved breastfeeding and maternal involvement in newborn care, whereas mother–nurse/midwife interaction involved effective communication and psychosocial support. Maternal–newborn bonding promotes a mother's successful transition into motherhood, nurses and midwives should actively initiate strategies facilitating early maternal–newborn bonding.

  8. Mothers' AdvocateS In the Community (MOSAIC- non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

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    Gold Lisa

    2011-03-01

    Full Text Available Abstract Background Effective interventions to increase safety and wellbeing of mothers experiencing intimate partner violence (IPV are scarce. As much attention is focussed on professional intervention, this study aimed to determine the effectiveness of non-professional mentor support in reducing IPV and depression among pregnant and recent mothers experiencing, or at risk of IPV. Methods MOSAIC was a cluster randomised trial in 106 primary care (maternal and child health nurse and general practitioner clinics in Melbourne, Australia. 63/106 clinics referred 215 eligible culturally and linguistically diverse women between January 2006 and December 2007. 167 in the intervention (I arm, and 91 in the comparison (C arm. 174 (80.9% were recruited. 133 (76.4% women (90 I and 43 C completed follow-up at 12 months. Intervention: 12 months of weekly home visiting from trained and supervised local mothers, (English & Vietnamese speaking offering non-professional befriending, advocacy, parenting support and referrals. Main outcome measures: Primary outcomes; IPV (Composite Abuse Scale CAS and depression (Edinburgh Postnatal Depression Scale EPDS; secondary measures included wellbeing (SF-36, parenting stress (PSI-SF and social support (MOS-SF at baseline and follow-up. Analysis: Intention-to-treat using multivariable logistic regression and propensity scoring. Results There was evidence of a true difference in mean abuse scores at follow-up in the intervention compared with the comparison arm (15.9 vs 21.8, AdjDiff -8.67, CI -16.2 to -1.15. There was weak evidence for other outcomes, but a trend was evident favouring the intervention: proportions of women with CAS scores ≥7, 51/88 (58.4% vs 27/42 (64.3% AdjOR 0.47, CI 0.21 to 1.05; depression (EPDS score ≥13 (19/85, 22% (I vs 14/43, 33% (C; AdjOR 0.42, CI 0.17 to 1.06; physical wellbeing mean scores (PCS-SF36: AdjDiff 2.79; CI -0.40 to 5.99; mental wellbeing mean scores (MCS-SF36: AdjDiff 2.26; CI -1

  9. Trial gain of weight and hospital length stay of the low birth weight preterm infant in assistance for kangaroo mother care

    OpenAIRE

    Márcia Aparecida Giacomini Rodrigues; Maria Aparecida Tedeschi Cano

    2006-01-01

    The aim of this study was to evaluate if the Kangaroo Mother Care (KMC) interferes in the gain of weight and in the hospital length stay of the low birth weight preterm newborn (LWBPTN). For this, it was realized an analytic retrospective study, through the evaluation of the medical records of 60 LWBPTN with born weight less than 2000 g that received assistance by KMC, for a period of 2 hours per day and, 60 LWBPTN that received assistance by the Traditional Method of Care (TMC), admitted in ...

  10. Effects of a Prenatal Care Intervention on the Self-Concept and Self-Efficacy of Adolescent Mothers

    OpenAIRE

    Ford, Kathleen; Hoyer, Paulette; Weglicki, Linda; Kershaw, Trace; Schram, Cheryl; Jacobson, Mary

    2001-01-01

    The objective of this study was to examine changes in self-concept and self-efficacy during the childbearing year among adolescent mothers (defined as young mothers up to age 20) who were involved in a behavioral intervention. Subjects included a sample of 282 urban, pregnant adolescents (94% African American, 4% white, 2% other). The Tennessee Self-Concept Scale (TSCS) was used to measure self-concept. A scale to measure the self-efficacy of the adolescent mother during the childbearing year...

  11. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Maternidad Isidro Ayora Study Team.

    Science.gov (United States)

    Sloan, N L; Camacho, L W; Rojas, E P; Stern, C

    1994-09-17

    Because resources for care of low-birthweight (LBW) infants in developing countries are scarce, the Kangaroo mother method (KMM) was developed. The infant is kept upright in skin-to-skin contact with the mother's breast. Previous studies reported several benefits with the KMM but interpretation of their findings is limited by small size and design weaknesses. We have done a longitudinal, randomised, controlled trial at the Isidro Ayora Maternity Hospital in Quito, Ecuador. Infants with LBW (< 2000 g) who satisfied out-of-risk criteria of tolerance of food and weight stabilisation were randomly assigned to KMM and control (standard incubator care) groups (n = 128 and 147, respectively). During 6 months of follow-up the KMM group had a significantly lower rate than the control group of serious illness (lower-respiratory-tract disorders, apnoea, aspiration, pneumonia, septicaemia, general infections; 7 [5%] vs 27 [18%], p < 0.002), although differences between the groups in less severe morbidity were not significant. There was no significant difference in growth or in the proportion of women breastfeeding, perhaps because the proportion breastfeeding was high in both groups owing to strong promotion. Mortality was the same in both groups; most deaths occurred during the stabilisation period before randomisation. KMM mothers made more unscheduled clinic visits than control mothers but their infants had fewer re-admissions and so the cost of care was lower with the KMM. Since the eligibility criteria excluded nearly 50% of LBW infants from the study, the KMM is not universally applicable to these infants. The benefits might be greater in populations where breastfeeding is not so common.

  12. The effects of the financial crisis and austerity measures on the Spanish health care system: a qualitative analysis of health professionals' perceptions in the region of Valencia.

    Science.gov (United States)

    Cervero-Liceras, Francisco; McKee, Martin; Legido-Quigley, Helena

    2015-01-01

    The recent financial crisis has seen severe austerity measures imposed on the Spanish health care system. However, the impacts are not yet well documented. We describe the findings from a qualitative study that explored health care professionals' perception of the effects of austerity measures in the Spanish Autonomous Community of Valencia. A total of 21 semi-structured interviews were conducted with health professionals, recorded and fully transcribed. We coded all interviews using an inductive approach, drawing on techniques used in the constant comparative method. Health professionals reported increases in mental health conditions and malnutrition linked to a loss of income from employment and cuts to social support services. Health care professionals perceived that the quality of health care had become worse and health outcomes had deteriorated as a result of austerity measures. Interviewees also suggested that increased copayments meant that a growing number of patients could not afford necessary medication. While a few supported reforms and policies, such as the increase in copayments for pharmaceuticals, most opposed the privatization of health care facilities, and the newly introduced Royal Decree-law 16/2012, particularly the exclusion of non-residents from the health care system. The prevailing perception is that austerity measures are having negative effects on the quality of the health care system and population health. In light of this evidence there is an urgent need to evaluate the austerity measures recently introduced and to consider alternatives such as the derogation of the Royal Decree-law 16/2012.

  13. 危机管理在急诊护理管理中的应用研究%Application of Crisis Management in Emergency Care Management

    Institute of Scientific and Technical Information of China (English)

    涂玲飞

    2015-01-01

    目的探讨分析危机管理在急诊护理管理中的应用。方法选取2013年1月-2014年6月急诊科就诊的180例患者,分为对照组90例,实施常规护理,观察组90例,在常规护理基础上予以危机管理;评价两组患者治疗效果、不良事件等,统计护理纠纷发生率,并对护理质量、患者满意度进行百分制评分。结果观察组治疗效果、护理质量、患者满意度评分均明显高于对照组(P<0.05),观察组不良事件、护理纠纷发生率均明显低于对照组(P<0.05);差异显著。结论在急诊护理工作中采用危机管理,能够有效防范危机,降低风险发生率,具有较高的临床应用价值。%Objective To discuss and analyze the application of crisis management in emergency care management.Methods Chose 180 emergency department patients from January 2013 to June 2014 and divided them into control group and treatment group with 90 cases in each group. The control group was treated with routine care while the treatment group was treated with crisis management on the basis of routine care. Evaluated the treatment effect and adverse events of two groups, counted their incidence of nursing disputes and graded nursing quality and patient satisfaction based on hundred-mark system.Results Treatment effect, nursing quality and patient satisfaction scores for treatment group were significantly higher than control group(P <0.05). Adverse events nursing disputes for treatment group were significantly lower than control group with statistical difference (P <0.05). Conclusion Crisis management in emergency care could effectively prevent the crisis, reduce the risk of incidence and have a high clinical value.

  14. Hypertensive Crisis

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Hypertensive Crisis: When You Should Call 9-1-1 for ... 18,2017 Know the two types of HBP crisis to watch for A hypertensive ( high blood pressure ) ...

  15. Crisis Thought

    OpenAIRE

    Morris, Edwin Kent

    2016-01-01

    Crisis thought is an idea that gives a name to and accounts for some of the problematics of the sign crisis in political, social, cultural, and economic discourse. Specifically, crisis thought is a discursive formation, a concept used loosely here to refer to an assemblage of signs such as anxiety or fear that evoke or invoke similar, but inaccurate connotations as crisis in political and everyday usage. The general question this study grapples with is why political, social, cultural, and eco...

  16. [The non perception of obesity can be an obstacle to the role of mothers in taking care of their children].

    Science.gov (United States)

    Camargo, Ana Paula Paes de Mello de; Barros Filho, Antonio de Azevedo; Antonio, Maria Ângela Reis de Góes Monteiro; Giglio, Joel Sales

    2013-02-01

    The goal of this study is to review articles in the scientific literature investigating the role of mothers, fathers and relatives in the treatment of obesity of their children. A search for original articles was conducted in the BIREME (BVS), PUBMED (MEDLINE) and Scielo platforms from 2004 to 2010, using the key words "the role of parents" and "childhood obesity," "the role of parents" and "child obesity treatment," "the mother's role" and "childhood obesity," "the mothers role" and "child obesity treatment." Twenty papers were selected and divided into two thematic categories. It was revealed that there are implications of the role of family, namely the father or mother, on the obesity of children, and more specifically related to the role of mothers. The conclusion drawn is that the role of parents and relatives is fundamental in promoting healthy behavior and lifestyles. Distorted maternal perception leads to excess weight being perceived as normal and this may prejudice treatment of child obesity. Acknowledging that the children are overweight most probably promotes greater acceptance of the need for treatment, in addition to being the necessary impetus for seeking professional assistance.

  17. A crisis in chronic pain care: an ethical analysis. Part three: Toward an integrative, multi-disciplinary pain medicine built around the needs of the patient.

    Science.gov (United States)

    Giordano, James; Schatman, Michael E

    2008-01-01

    A number of variables have contributed to the current crisis in chronic pain care and are affected by, and affect, the philosophies and politics that influence the socio-economic climate of the American healthcare system. Thus, we posit that managing the crisis in chronic pain care in the United States is contingent upon the development of a multi-focal healthcare paradigm that more thoroughly enables and fortifies research, its translation (in education and practice), and the implementation of, and support for, both the curative and healing approaches in medicine in general, and pain care specifically. These steps necessitate re-examination, if not revision of the health care system and its economics. The ethical imperative to consider and prudently employ cutting-edge diagnostic and therapeutic technologies in pain medicine is obligatory. However, "supply side prudence" is of little value if "demand side accessibility" is lacking. Revisions to health insurance plans advocated by the in-coming administration seek to create uniformity in basic health care services based upon re-assessment of the clinical effectiveness (versus merely cost) of treatments, including those that are "high tech." These plans attempt to allow every patient a more complete ability to deliberatively work with physicians to access those services and resources that maximize health functioning and goals. But even given these revisions, authentic pain care must take into account the interactive contexts of the painient individual. The biopsychosocial model of chronic pain management may have significant practical and ethical worth in this regard. A system of pain treatment operating from a biopsychosocial perspective necessitates integrative multi-disciplinarity. We propose a tiered, multi-disciplinary paradigm based upon the differing needs of each specific patient. But establishing such a system does not guarantee access, and distribution of these services and resources requires economic

  18. "Needs Expressed" and "Offers of Care": An Observational Study of Mothers with Somatisation Disorder and Their Children

    Science.gov (United States)

    Bialas, Ivona; Craig, Tom K. J.

    2007-01-01

    Background: The abnormal illness behaviours characterising somatisation disorder may be learnt responses acquired through exposure to parental illness and health anxiety in childhood. In this observational study we explore this hypothesis by examining patterns of interaction in mothers and their school age children. Method: A sample of 136 mother…

  19. The Other Side of Caring: Adult Children with Mental Illness as Supports to Their Mothers in Later Life.

    Science.gov (United States)

    Greenberg, Jan Steven

    1995-01-01

    Discusses the role of adult children with serious mental illness as a source of support to their aging parents. Most mothers reported that their mentally-ill children provided at least some ongoing help with daily living tasks. The adult child's assistance related significantly to lower levels of maternal subjective burden. (RJM)

  20. Will the "Good" [Working] Mother Please Stand Up? Professional and Maternal Concerns about Education, Care and Love

    Science.gov (United States)

    Page, Jools

    2013-01-01

    The purposes of this article are to understand the factors that women are likely to take into consideration when making employment decisions and childcare choices while their babies are young, and to identify their choices, beliefs and dilemmas: the focus is on the experiences of working mothers in England. These choices are problematised in the…

  1. Changes in access to health care for immigrants in Catalonia during the economic crisis: Opinions of health professionals and immigrant users.

    Science.gov (United States)

    Porthé, Victoria; Vargas, Ingrid; Sanz-Barbero, Belén; Plaza-Espuña, Isabel; Bosch, Lola; Vázquez, Maria Luisa

    2016-11-01

    Policy measures introduced in Spain during the economic crisis included a reduction in public health expenditure and in healthcare entitlements (RDL16/2012), which affected the general population as a whole, but especially immigrants. This paper analyzes changes in immigrants' access to health care during the economic crisis from the perspective of health professionals (medical and administrative) and immigrants. A qualitative descriptive-interpretative study was conducted in Catalonia through individual interviews with a theoretical sample of health professionals (n=34) and immigrant users (n=20). Thematic analysis was conducted and data quality was ensured through triangulation. Informants described barriers to enter the health system related to reduced healthcare entitlements and a stricter enforcement of administrative requirements: while medical professionals highlighted restrictions to accessing the healthcare continuum, immigrants accentuated barriers to obtaining the individual health card. With regard to use of services, an increase in waiting times due to cutbacks in human resources dominated the informants' discourse. Health professionals pointed out organizational changes to increase efficiency that may improve access to primary care. Informants related lower health services utilization to a deterioration in immigrants' living and working conditions. According to health professionals, these conditions limited the use of services during working hours and led to delays in seeking care and treatment interruptions. Results show an aggravation of pre-existing barriers to health services utilization and, simultaneously, the appearance of new barriers to enter the system. These changes in the healthcare services contradict the equity principles of the national health system (NHS), thus policy decisions are needed to address this problem.

  2. Determinants of anemia among pregnant mothers attending antenatal care in Dessie town health facilities, northern central Ethiopia, unmatched case -control study

    Science.gov (United States)

    Seid, Omer; G/Mariam, Yemane; Fekadu, Abel; Wasihun, Yitbarek; Endris, Kedir; Bitew, Abebayehu

    2017-01-01

    Introduction Anemia affects around 38.2% and 22% of pregnant women at a global and national level respectively. In developing countries, women start pregnancy with already depleted body stores of iron and other vitamins with significant variation of anemia within and between regions. Objective To identify the determinants of anemia among pregnant mothers attending antenatal care in Dessie town health facilities, northern central Ethiopia. Methods A health facility based unmatched case control study was conducted among 112 cases and 336 controls from January to March 2016 G.C. The sample size was determined by using Epi Info version 7.1.5.2. Study subjects were selected using consecutive sampling technique. Data were collected using a structured questionnaire, entered using Epi Data version 3.1 and analyzed using SPSS version 20. Bivariable and multivariable logistic regression model was used to see the determinants of anemia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-valueanemia. Conclusions Inadequate intake of dark green leafy vegetables, inadequate consumption of chicken, trimester of the current pregnancy, HIV infection and medication were the determinants of anemia among pregnant women. Therefore, anemia prevention strategy should include promotion of adequate intake of dark green leafy vegetables and chicken, increase meal pattern during the entire pregnancy and strengthen the prevention of mother to child HIV transmission/antenatal care programs. PMID:28288159

  3. Demanda infantil por serviços de saúde mental: sinal de crise Juvenile claim on mental health care: sign of crisis

    Directory of Open Access Journals (Sweden)

    Maria Lúcia Boarini

    1998-06-01

    Full Text Available Este estudo é o resultado de uma reflexão sobre o significado histórico da alta demanda infantil aos serviços de saúde mental na rede pública de saúde. Através da literatura produzida sobre o tema infância, buscamos recuperar aspectos concernentes à sua constituição enquanto produção social. Pontuamos a existência de uma crise para a infância - enquanto categoria histórica - na pós-modernidade e destacamos algumas rupturas presentes no "pensar" sobre a infância. Ao nos referirmos a todas as crianças como "crianças em si"², negamos que a grande maioria delas são tratadas como "crianças tão somente"³ ou seja, apenas pelo dado da maturação biológica. Identificamos que tal crise, para as "crianças tão somente" - pertencentes às classes populares - não é exclusiva da era pós-moderna.This study is a result of the reflection on the historical meaning of the high juvenile claim on mental health care in public health care units. Through literature about childhood subject, we attempted to recover aspects concerning to its formation since social production. We point out the existence of a childhood crisis - while historical category - in post modern times and we emphasise the presence of some breaks in that childhood reflection. When referring to all children as "children as a whole"4, we deny that most of them are treated as "children by themselves", for instance, just by their biological maturation. We identified that such crisis in "children by themselves"5 - from working classes - does not belong exclusively to the post-modern times.

  4. The effect of relational continuity of care in maternity and child health clinics on parenting self-efficacy of mothers and fathers with loneliness and depressive symptoms.

    Science.gov (United States)

    Tuominen, Miia; Junttila, Niina; Ahonen, Pia; Rautava, Päivi

    2016-06-01

    This study explored the parenting self-efficacy of the parents of 18-month-old children in the context of Finnish maternity and child health clinics. This parenting self-efficacy was observed in relation with the relational continuity of care and parents' experienced loneliness and depressive symptoms. The relational continuity of care was provided by a public health nurse in maternity and child health clinics. The participating parents were drawn from the STEPS study that is being carried out by the Institute for Child and Youth Research at the University of Turku. The results showed that relational continuity of care provided by the same public health nurse in the maternity and child health clinics was associated with mothers' higher emotional loneliness and with lower scores on three dimensions of parents' parenting self-efficacy. Loneliness and depressive symptoms negatively influenced parents' parenting self-efficacy - however, in the case where the family had experienced relational continuity of care, the parents' higher levels of depressive symptoms had not weakened their parenting self-efficacy beliefs. These results are discussed in terms of organizing maternity and child health clinic services.

  5. Volunteer home-based HIV/AIDS care and food crisis in Addis Ababa, Ethiopia: sustainability in the face of chronic food insecurity.

    Science.gov (United States)

    Maes, Kenneth C; Shifferaw, Selamawit; Hadley, Craig; Tesfaye, Fikru

    2011-01-01

    Low-income volunteers constitute a major part of AIDS care workforces in sub-Saharan Africa, yet little research has been conducted to determine how poverty and insecurity among volunteers impact their wellbeing and the sustainability of the AIDS treatment programmes they support. This paper presents longitudinal ethnographic and epidemiological research documenting how the 2008 food crisis in Addis Ababa affected AIDS care volunteers' care relationships and motivations. Ethnographic results highlight the distress and demotivation that rising food costs created for caregivers by contributing to their own and their care recipients' experiences of food insecurity and HIV-related stigmatization. Epidemiological results underscore a high prevalence of food insecurity (approximately 80%) even prior to the peak of food prices. Rising food prices over the 3 years prior to 2008, underemployment and household per capita incomes averaging less than US$1/day, likely contributed to the very high prevalence of food insecurity reported by caregivers in our sample. We also show that new volunteers recruited in early 2008 by one of the non-governmental organizations (NGOs) involved in this study were more likely to be dependants within their households, and that these participants reported lower rates of food insecurity and higher household income. While this shift in volunteer recruitment may help sustain volunteer care programmes in the face of widespread poverty and underemployment, food insecurity was still highly prevalent (58-71%) among this sub-group. Given the inability of the local NGOs that organize volunteers to address the challenge of food insecurity for programme sustainability, our results raise important policy questions regarding compensation for volunteers' valuable labour and poverty reduction through public health sector job creation.

  6. Knowledge and perception of Prevention of Mother to Child services amongst pregnant women accessing antenatal clinic in a Primary Health Care centre in Nigeria

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    Eme T. Owoaje

    2012-10-01

    Full Text Available Background: Few studies have assessed pregnant women’s perceptions regarding prevention of mother to child of HIV and the available services at the primary health care level in Nigeria.Objective: Assessment of knowledge and perception of antenatal clinic (ANC attendees regarding Prevention of Mother to Child Transmission (PMTCT of HIV at primary health care facilities in south-west Nigeria.Method: A cross-sectional survey was conducted amongst 400 antenatal attendees in a Primary Health Care centre in Ibadan, Nigeria.Results: Known methods of PMTCT were: use of anti-retroviral treatment (ART during pregnancy (75.0%, ART at birth (65.8% and not breastfeeding (61.8%. Previous HIV Counselling and Testing (HCT was reported by 71%, significantly higher proportions of thosewho were married, in the third trimester of pregnancy or engaged in professional and/or skilled occupations had been tested. Regarding the HCT services provided, 92.2% understood the HIV-related health education provided, 89.7.2% reported that the timing was appropriate, 92.6% assessed the nurses’ approach as acceptable but 34.0% felt the test was forced upon them. Majority (79.6% were aware of non-breastfeeding options of infant feeding, but only 3.5% were aware of exclusive breastfeeding for a stipulated period as an infant feeding option. Nevertheless, the majority of the women found the non-breast feeding option culturally unacceptable.Conclusion: Women in this survey were knowledgeable about the methods of PMTCT, but had negative perceptions regarding certain aspects of the HCT services and the recommended non-breastfeeding infant feeding option. Health workers should provide client friendly services and infant feeding counselling that is based on current WHO recommendations and culturally acceptable.

  7. Comparative Evaluation of Cash Benefit Scheme of Janani Suraksha Yojana for Beneficiary Mothers from Different Health Care Settings of Rewa District, Madhya Pradesh, India.

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    Trivedi R

    2014-05-01

    Full Text Available Introduction: For better outcomes in mother and child health, Government of India launched the National Rural Health Mission (NRHM in 2005 with a major objective of providing accessible, affordable and quality health care to the rural population; especially the vulnerable. Reduction in MMR to 100/100,000 is one of its goals and the Janani Suraksha Yojana (JSY is the key strategy of NRHM to achieve this reduction. The JSY, as a safe motherhood intervention and modified alternative of the National Maternity Benefit Scheme (NMBS, has been implemented in all states and Union territories with special focus on low performing states. The main objective and vision of JSY is to reduce maternal, neo-natal mortality and promote institutional delivery among the poor pregnant women of rural and urban areas. This scheme is 100% centrally sponsored and has an integrated delivery and post delivery care with the help of a key person i.e. ASHA (Accredited Social Health Activist, followed by cash monetary help to the women. Objectives: 1To evaluate cash benefit service provided under JSY at different health care settings. 2 To know the perception and elicit suggestions of beneficiaries on quality of cash benefit scheme of JSY. Methodology: This is a health care institute based observational cross sectional study including randomly selected 200 JSY beneficiary mothers from the different health care settings i.e., Primary Health Centres, Community Health Centres, District Hospital and Medical College Hospital of Rewa District of Madhya Pradesh state. Data was collected with the help of set pro forma and then analysed with Epi Info 2000. Chi square test was applied appropriately. Results: 60% and 80% beneficiaries from PHC and CHC received cash within 1 week after discharge whereas 100% beneficiaries of District Hospital and Medical College Hospital received cash at the time of discharge; the overall distribution of time of cash disbursement among beneficiaries of

  8. A Crisis Mental Health Intervention Service: An Innovative Model for Working Intensively with Young People on the Edge of Care

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    Witkon, Yael

    2012-01-01

    This paper describes the setting up and the first year of running of an innovative outreach service for adolescents on the edge of care that aimed at redressing family breakdown and preventing placements in the care system. It was a collaborative endeavour between social services and a child and adolescent mental health provision to facilitate the…

  9. A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother & Infant Survey

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    Sword Wendy

    2002-04-01

    Full Text Available Abstract Background This survey's objective was to provide planning information by examining utilization patterns, health outcomes and costs associated with existing practices in the management of postpartum women and their infants. In particular, this paper looks at a subgroup of women who score ≥ 12 on the Edinburgh Postnatal Depression Survey (EPDS. Methods The design is cross-sectional with follow-up at four weeks after postpartum hospital discharge. Five Ontario hospitals, chosen for their varied size, practice characteristics, and geographic location, provided the setting for the study. The subjects were 875 women who had uncomplicated vaginal deliveries of live singleton infants. The main outcome measures were the EPDS, the Duke UNC Functional Social Support Questionnaire and the Health and Social Services Utilization Questionnaire. Results EPDS scores of ≥ 12 were found in 4.3 to 15.2% of otherwise healthy women. None of these women were being treated for postpartum depression. Best predictors of an EPDS score of ≥ 12 were lack: of confident support, lack of affective support, household income of Conclusions Primary care physicians, midwives, and public health nurses need to screen for depression at every opportunity early in the postpartum period. A mother's expression of undue concern about her own or her baby's health may be predictive of postpartum depression. Flexible, mother-focused support from community providers may decrease the prevalence of postpartum depression.

  10. Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study

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    Abinet Arega Sadore

    2015-01-01

    Full Text Available Background. In Ethiopia, higher proportions of pregnant women are anemic. Despite the efforts to reduce iron deficiency anemia during pregnancy, only few women took an iron supplement as recommended. Thus, this study aimed to assess compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha district, South Ethiopia. Method. Community based cross-sectional study supported with in-depth interview was conducted from March 1 to March 30, 2015. The sample size was determined using single population proportion to 303. Simple random sampling technique was used to select the study participants. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with compliance to iron-folate supplement. Results. The compliance rate was found to be 39.2%. Mothers knowledge of anemia (AOR = 4.451, 95% CI = (2.027,9.777, knowledge of iron-folate supplement (AOR = 3.509, 95% CI = (1.442,8.537, and counseling on iron-folate supplement (AOR = 4.093, 95% CI = (2.002,8.368 were significantly associated with compliance to iron-folate supplement. Conclusions. Compliance rate of iron-folate supplementation during pregnancy remains very low. This study showed that providing women with clear instructions about iron-folate tablet intake and educating them on the health benefits of the iron-folate tablets can increase compliance with iron-folate supplementation.

  11. HEALTH SERVICES FOR UNMARRIED MOTHERS.

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    BERNSTEIN, ROSE; HERZOG, ELIZABETH

    FROM REPORTS AND DATA THAT WERE AVAILABLE TO THE UNITED STATES CHILDREN'S BUREAU THROUGH 1962, A REVIEW WAS MADE OF RESEARCH AND DEMONSTRATIONS THAT RELATED TO AVAILABILITY AND USE OF HEALTH SERVICES BY UNMARRIED MOTHERS. INCLUDED ARE COMPLICATIONS OF PREGNANCY IN BIRTHS OUT OF WEDLOCK--(1) STUDIES OF PRENATAL MEDICAL CARE FOR UNMARRIED MOTHERS,…

  12. Receipt of preventive dental care among special-needs children enrolled in Medicaid: a crisis in need of attention.

    Science.gov (United States)

    Mitchell, Jean M; Gaskin, Darrell J

    2008-10-01

    Although not widely recognized, tooth decay is the most common childhood chronic disease among children ages five to seventeen. Despite higher rates of dental caries and greater needs, low-income minority children enrolled in Medicaid are more likely to go untreated relative to their higher income counterparts. No research has examined this issue for children with special needs. We analyzed Medicaid enrollment and claims data for special-needs children enrolled in the District of Columbia Medicaid program to evaluate receipt of recommended preventive dental care. Use of preventive dental care is abysmally low and has declined over time. Enrollment in managed care rather than fee for service improves the likelihood that special-needs children receive recommended preventive dental services, whereas residing farther from the Metro is an impediment to receipt of dental care.

  13. The contribution of Australian residential early parenting centres to comprehensive mental health care for mothers of infants: evidence from a prospective study

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    Fisher Jane RW

    2010-04-01

    Full Text Available Abstract Background Australia's public access residential early parenting services provide programs to assist parents who self-refer, to care for their infants and young children. Treatment programs target infant feeding and sleeping difficulties and maternal mental health. There is limited systematic evidence of maternal and infant mental health, psychosocial circumstances or presenting problems, or the effectiveness of the programs. The aim of this study was to contribute to the evidence base about residential early parenting services. Methods A prospective cohort design was used. A consecutive sample of mothers with infants under one year old recruited during admission to a public access residential early parenting service for a 4 or 5 night stay in Melbourne, Australia was recruited. They completed structured self-report questionnaires, incorporating standardised measures of infant behaviour and maternal mood, during admission and at one and six months after discharge. Changes in infant behaviour and maternal psychological functioning after discharge were observed. Results 79 women completed the first questionnaire during admission, and 58 provided complete data. Women admitted to the residential program have poor physical and mental health, limited family support, and infants with substantial behaviour difficulties. One month after discharge significant improvements in infant behaviour and maternal psychological functioning were observed (mean (SD daily crying and fussing during admission = 101.02 (100.8 minutes reduced to 37.7 (55.2 at one month post discharge, p Conclusions This psycho-educational approach is an effective and acceptable early intervention for parenting difficulties and maternal mood disturbance, and contributes to a system of comprehensive mental health care for mothers of infants.

  14. Crisis Response

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    East Asian countries consider a financial alliance tostabilize the regional economy East Asian financial cooperation has come under the spotlight once again amid the spiraling global financial crisis originated in the

  15. Crisis communications.

    Science.gov (United States)

    Niewenhous, Daria; Sterling, Nancy

    2008-01-01

    Whether healthcare security is directly or indirectly involved in a crisis that will involve the media, it will pay to better familiarize yourself with the kind of planned responses discussed in this article to mitigate negative outcomes.

  16. Costo de la atención materno infantil en el Estado de Morelos, México Cost of mother-child care in Morelos State

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    Lucero Cahuana-Hurtado

    2004-08-01

    Full Text Available OBJETIVO: Comparar el costo actual de servicios de salud materno infantiles (modelo actual con el costo hipotético de su provisión bajo estándares definidos por el Paquete Madre Bebé, de la Organización Mundial de la Salud. MATERIAL Y MÉTODOS: Se realizó un estudio piloto de caso, de corte transversal, en septiembre de 2001, en establecimientos de salud de la Jurisdicción Sanitaria III de los Servicios de Salud del Estado de Morelos, México. Se eligieron para el estudio dos centros de salud rurales, un centro de salud urbano y un hospital general de la Secretaría de Salud. Se calculó el costo total y por intervención del modelo actual y del modelo Paquete Madre Bebé, usando el Modelo de estimación de costos de este Paquete. RESULTADOS: Se encontró que el costo total del Paquete Madre Bebé es dos veces mayor que el costo del modelo actual. De las 18 intervenciones evaluadas, la atención prenatal y el parto normal consumen la mayor proporción de los costos totales. Los costos de personal representan más de la mitad de los costos totales. CONCLUSIONES: El Modelo de estimación de costos es una herramienta práctica para la estimación y comparación de costos, y es útil para guiar la distribución de recursos financieros destinados a la atención materno infantil. Sin embargo, su aplicación es de limitada utilidad si su adaptación no responde a las características de cada sistema de atención.OBJECTIVE: To compare the cost of maternal and child health care (current model to that of the WHO Mother-Baby Package if it were implemented. MATERIAL AND METHODS: A pilot cross-sectional case study was conducted in September 2001 in Sanitary District No. III, Morelos State, Mexico. Two rural health centers, an urban health center, and a general hospital, all managed by the Ministry of Health, were selected for the study. The Mother-Baby Package Costing Spreadsheet was used to estimate the total cost and cost per intervention for the

  17. Working Mothers and Their Children

    Science.gov (United States)

    Mead, Margaret

    1970-01-01

    Discusses possible ways of providing continuity of care for young children of working mothers, including industry - sponsored day nurseries, cooperative nursery schools, communal clusters where working and nonworking women share household tasks and child care, and expanded neighborhood day care. (MG)

  18. Financial Crisis

    Institute of Scientific and Technical Information of China (English)

    黄骅

    2012-01-01

      Financial crisis started from America and soon spread all over the world. How did this happen? What government has done to rescue the economy and what should we do to help? Is financial crisis inevitable? These questions have bothered me for a long time. However, if we use a macroeconomist eye to view the world, all the questions seemed clear and crystal.

  19. Healthy Mothers Healthy Babies: awareness and perceptions of existing breastfeeding and postpartum depression support among parents and perinatal health care providers in Hawai'i.

    Science.gov (United States)

    Kimura, Lisa J; McGee, Amelia; Baird, Shelagh; Viloria, Joanne; Nagatsuka, Melissa

    2015-03-01

    Healthy Mothers, Healthy Babies Coalition of Hawai'i (HMHB) is a local nonprofit organization dedicated to eliminating health disparities and improving Hawai'i's maternal, child, and family health though collaborative efforts in public education, advocacy, and partner development. A review of HMHB services revealed overwhelming requests for both breastfeeding and postpartum depression (PPD) support. The purpose of this article is to present the findings of two surveys that highlight the awareness of existing breastfeeding and PPD resources based on both parents and health care providers; perceptions of where and how care is accessed; and whether mothers throughout Hawai'i have equitable access to support. Results helped assess gaps in resources and determine barriers to care, as well as provide suggestions for new services or resources. Web-based surveys were sent to 450 providers and 2,955 parents with response rates of 8.9% and 4.0%, respectively. Less than half of parent participants reported that their health provider discussed PPD with them. Participants identified a number of barriers to increasing access and utilization of PPD support resources, including: not feeling like symptoms were server enough, feeling embarrassed to seek help, not knowing where to find support/information, and not able to afford or insurance wouldn't cover PPD support. Only 40% of providers reported screening for PPD and 33% felt they had not received adequate training. Barriers identified by providers were a lack of trained providers, lack of PPD specific support groups, cultural stigma, and lack of PPD awareness among providers. Of the women who did not exclusively breastfeed for the full six-month recommendation, the most common breastfeeding concerns included: perceptions of low milk supply; lack of lactation support; medical reasons; and pain. Providers described an environment of uneven distribution of resources, general lack of awareness of available resources, along with a

  20. My Mother

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    MOTHER had finely-chiseled features. She liked to read and loved flowers, trees and insects. She had wide interests and knowledge and could recite many ancient poems. Mother was never dressed gorgeously or adorned with jewelry like earrings and finger rings. Especially during her middle age, our big family was poverty

  1. Preparing for a crisis: crisis team development.

    Science.gov (United States)

    Calarco, C

    1999-02-01

    Emergency preparedness in the school setting necessitates the formation and development of a Crisis Team that will be prepared to assume critical roles in the event of a crisis. This paper discusses the school Crisis Team, including member identification and responsibilities, and the relationship of the Crisis Team to the school crisis plan and policies.

  2. Complementary and alternative medicine (CAM) use in children with functional abdominal pain (FAP) and irritable bowel syndrome (IBS) differs in tertiary vs. primary care and is related to mother's view of child disability

    Science.gov (United States)

    We sought to determine if CAM use was greater in children in tertiary vs. primary care, and whether child or parent report of pain characteristics, and/or child and mother's psychological characteristics differed between those who did/did not use CAM. We identified children 7-10 years of age with FA...

  3. Knowledge and practices on maternal health care among mothers: A Cross sectional study from rural areas of mid-western development region Nepal

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    Kapil Gyawali

    2013-01-01

    Full Text Available Background: Safe motherhood is a priority program in Nepal, aiming to restrain maternal deaths. Meanwhile, knowledge, practices, accessibility, and service quality are considered keys to improve service utilization. This study was conducted to identify knowledge and practices of maternal health care among mothers having < 1-year-old child in the Mid-western Development Region, Nepal. Materials and Methods: A community-based cross-sectional study was conducted during January-April 2011 in rural, Mid-western Development Region, Nepal. Three Village Development Committees (VDC from Bardiya (plain and two VDCs from each of the Salyan and Pyuthan (hill and Jumla (mountain districts were selected randomly. Hence, there were 81 clusters (1VDC = 9 clusters and 7-8 participants were selected randomly from each cluster. Data were collected by interview using structured questionnaire and Focus Group Discussion Guideline (18 FGDs, analyzed by SPSS (16.0. CD recorded qualitative data were transcribed and narrated. Percent mean and standard deviation were calculated. Results: Three quarters of the participants had correct knowledge regarding minimum numbers of antenatal visits to be done by a pregnant woman (WHO guideline. Nearly two-fifth participants knew schedule of antenatal care (ANC visits. Almost 60% had done ≥ 4 ANC visits during last pregnancy. Majority visited Sub Health Post/Health Post/Primary Health Care Centre for ANC Checkup. About 90% had taken Iron and folic acid tablets. About 57% were home deliveries (last childbirth, 40% deliveries were assisted by relatives/husband, and only 32% did postnatal health checkup. Conclusions: There were gaps in the knowledge and practices for health care during pregnancy, childbirth and in the postpartum period. A high rate of home deliveries with the low postnatal service utilization was prevalent. Intensive awareness progam and behavioral change interventions, regular pregnancy monitoring may promote the

  4. Making the continuum of care work for mothers and infants: Does gender equity matter? Findings from a quasi-experimental study in Bihar, India

    Science.gov (United States)

    McDougal, Lotus; Atmavilas, Yamini; Hay, Katherine; Silverman, Jay G.; Tarigopula, Usha K.; Raj, Anita

    2017-01-01

    Background Improvements in continuum of care (CoC) utilization are needed to address inadequate reductions in neonatal and infant mortality in India and elsewhere. This study examines the effect of Ananya, a health system training and community outreach intervention, on reproductive, maternal and newborn health continuum of care (RMNH CoC) utilization in Bihar, India, and explores whether that effect is moderated by gender equity factors (child marriage, restricted mobility and low decision-making control). Methods A two-armed quasi-experimental design compared districts in Bihar that did/did not implement Ananya. Cross-sections of married women aged 15–49 with a 0–5 month old child were surveyed at baseline and two year follow-up (baseline n = 7191 and follow-up n = 6143; response rates 88.9% and 90.7%, respectively). Difference-in-difference analyses assessed program impact on RMNH CoC co-coverage, defined by 9 health services/behaviors for the index pregnancy (e.g., antenatal care, skin-to-skin care). Three-way interactions assessed gender equity as a moderator of Ananya’s impact. Findings Participants reported low RMNH CoC co-coverage at baseline (on average 3.2 and 3.0 of the 9 RMNH services/behaviors for Ananya and control groups, respectively). The Ananya group showed a significantly greater increase in RMNH CoC co-coverage (.41 services) compared with the control group over time (p<0.001), with the primary drivers being increases in clean cord care, skin-to-skin care and postpartum contraceptive use. Gender equity interaction analyses revealed diminished intervention effects on antenatal care, skilled birth attendance and exclusive breastfeeding for women married as minors. Conclusion Ananya improved RMNH CoC co-coverage among these recent mothers, largely through positive health behavior changes. Child marriage attenuated Ananya’s impact on utilization of key health services and behaviors. Supporting the health system with training and community

  5. Self-help groups can improve utilization of post-natal care by HIV-positive mothers

    NARCIS (Netherlands)

    T.A. Nguyen; P. Oosterhoff; P.N. Yen; P. Wright; A. Hardon

    2009-01-01

    HIV prevention within maternal-child health services has increased in many developing countries, but many HIV-infected women in developing countries still receive insufficient postnatal care. This study explored the experience of 30 HIV-infected women in Vietnam in accessing HIV-related postnatal ca

  6. Transitional Phase or a New Balance? Working and Caring by Mothers With Young Children in the Netherlands

    NARCIS (Netherlands)

    Wel, Frits van; Knijn, Trudie

    2006-01-01

    In recent years in the Netherlands, mothers’ labor participation has increased sharply. This article examines which factors influence mothers’ employment rates and the division of household and caring responsibilities between parents. From research among 1,285 women with young children, it appears t

  7. Prevention of mother-to-child HIV transmission at primary health care level in Moshi urban Tanzania: uptake challenges and transmission rate

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    Sia E. Msuya M

    2014-01-01

    Full Text Available BACKGROUND:Tanzania has extended prevention of mother-to-child HIV transmission (PMTCT services to primary health care clinics (PHC. Information on challenges and rates of MTCTC of HIV at this level is limited. The study aimed to describe theuptake of PMTCT interventions and MTCT rates at 18 months post-delivery. METHODS:Pregnant women,in their 3rd trimester (N=2654,attending 2 primary health facilities in Moshi were recruited. They were interviewed, tested and women-infant pairs were followed-up for 18 months post-delivery, at which point the exposed children were tested for HIV. RESULTS:Of the 2654 women, 99% accepted testing, 93% returned for their HIV-test results and 7% (184 were HIV-positive. Of the 184 HIV-positive women, 93% (171/184 came for test-results, 71% (130/184 took anti-retroviral prophylaxis (sdNVP in labor and 59% (103/175 infants received ARV (sdNVP prophylaxis. HIV-testing at 18 months was conducted for 68% of the exposed infants. The rate of MTCT of HIV was 15.8%. CONCLUSION: Nearly 40% of infants do not receive ARV prophylaxis and there is high rate of loss to follow-up after delivery, which needs urgent improvements.The high transmission rate support testing of exposed-children earlier due to high number of deaths among children < 18 months and missed opportunity to offer early ART care.

  8. The impact of the method Kangaroo Mother Care in the learning process of low-birth-weight preterm infants: A literature review

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    Mariana de Paiva Franco

    2014-04-01

    Full Text Available Technology advances and scientific studies in Neonatal Intensive Care Units (NICU have contributed significantly to reduce mortality and morbidity of at-risk newborns (NB. However, they are more likely to present neurological and/or developmental psychomotor delay with neurological and sensory alterations. Therefore, proposals for neonatal intervention were developed with the aim of protecting the baby and offering appropriate incentives to minimize the effects of hospital intervention. To this end, programs of protective measures such as the Kangaroo Mother Care (KMC were developed. Given the relevance of the issue described, this systematic review critically appraises articles from the national and international literature, published in recent years (from 2000 to 2011, that describe whether the KMC can be a protective factor for the development of writing in premature infants. The textual search was conducted using the Virtual Health Library (VHL, a website that covers publications worldwide, allowing access to articles from health science, including LILACS, IBECS, MEDLINE, Cochrane Library and SciELO, as database. The findings revealed that infants who participated in the KMC program showed improvements in their development and that factors such as low-birth-weight prematurity and learning disorders have close relationship with the onset of motor impairments and changes in psychomotor development. The findings showed no articles describing the KMC as a protective factor for the incidence of dysgraphia. Thus, we emphasize the importance of conducting further studies on these topics.

  9. Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants

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    Priya Singh Rangey

    2014-01-01

    Full Text Available Background. Massage therapy (MT and kangaroo mother care (KMC are both effective in increasing the weight and reducing length of hospital stay in low birth weight preterm infants but they have not been compared. Aim. Comparison of effectiveness of MT and KMC on body weight and length of hospital stay in low birth weight preterm (LBWPT infants. Method. 30 LBWPT infants using convenience sampling from Neonatal Intensive Care Unit, V.S. hospital, were randomly divided into 2 equal groups. Group 1 received MT and Group 2 received KMC for 15 minutes, thrice daily for 5 days. Medically stable babies with gestational age < 37 weeks and birth weight < 2500 g were included. Those on ventilators and with congenital, orthopedic, or genetic abnormality were excluded. Outcome measures, body weight and length of hospital stay, were taken before intervention day 1 and after intervention day 5. Level of significance was 5%. Result. Data was analyzed using SPSS16. Both MT and KMC were found to be effective in improving body weight (P = 0.001, P = 0.001. Both were found to be equally effective for improving body weight (P = 0.328 and reducing length of hospital stay (P = 0.868. Conclusion. MT and KMC were found to be equally effective in improving body weight and reducing length of hospital stay. Limitation. Long term follow-up was not taken.

  10. Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon

    NARCIS (Netherlands)

    N.G. Schwarz; M. Gysels; C. Pell; J. Gabor; M. Schlie; S. Issifou; B. Lell; P.G. Kremsner; M.P. Grobusch; R. Pool

    2009-01-01

    The aim of this paper is to explore attitudes of mothers towards childhood vaccinations and reasons for non-attendance and non-adherence to mother-child clinics (MCCs). Forty in-depth interviews with mothers of children under 5 years of age revealed positive attitudes towards vaccination that seem a

  11. Knowledge and Skills of Mothers/Care Givers of Children Under Five Years in Communities with Home Based Management of Malaria in Tamale, Northern Region, Ghana, 2013

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    Mukaila Z. Mumuni

    2016-11-01

    Full Text Available Background: Malaria is still one of the major public health problems. More than 400 million cases of malaria are reported each year worldwide, Sub-Saharan Africa is the most affected region where about 90% of all malaria deaths in the world occur especially in children under five years of age. Home based management of Malaria showed a tremendous effect on reducing mortalities among children in Ghana. Objectives: to determine the current level of knowledge and skills of mothers in Tamale Metropolitan Area in the northern region of Ghana in terms of disease identification, management and transmission of malaria. Methodology: A cross sectional study conducted in 2013 involved 400 families and mothers/care givers with children less than five years were selected randomly and represented urban, peri-urbanand rural settings. Results: More than 90% of respondents identified malaria by presence of fever while 57.5% used fever as a cardinal sign. 91% of participants sought early treatment in urban and peri-urban settings while 85% did so in rural sites. 55% of participants administered the correct doses daily but only 17% of them knew the side effects of Antimalarial medications used. Almost all participants were aware about transmission of malaria, when to repeat the drug dose and usage of paracetamol as a medicine to reduce body temperature. Conclusion: The overall knowledge and skills demonstrated are encouraging, there is no much difference between urban and rural settings. Community based initiatives should be strengthened and promoted to provide homemade solutions to saving lives and resources.

  12. Dead infants, cruel mothers, and heroic popes: the visual rhetoric of foundling care at the hospital of Santo Spirito, Rome.

    Science.gov (United States)

    Presciutti, Diana Bullen

    2011-01-01

    The fresco cycle painted at the behest of Pope Sixtus IV in the late 1470s in the main ward of the hospital of Santo Spirito in rome comprises an extended pictorial biography of Sixtus, prefaced by scenes representing the legendary foundation of the hospital by his predecessor Innocent III. The legend, which tells how Innocent established Santo Spirito as a foundling hospital in response to the discovery of victims of infanticide in the Tiber River, positions the pope as the savior of the city's unwanted children. This article elucidates how the construction and renovation of the hospital is presented in the cycle as a generative product of papal will, with the care of foundlings situated as an integral part of the image of the pope as both Father of the Church and restorer of past glory to the city of Rome. While the frescoes engage with both widespread conventions for representing infanticide and commonplace notions of the social value of caring for abandoned children, I demonstrate that the ideologically potent visual rhetoric of foundling care was also flexible, and could be adapted to meet the specific needs of a particular institutional and patronal context.

  13. Trial gain of weight and hospital length stay of the low birth weight preterm infant in assistance for kangaroo mother care

    Directory of Open Access Journals (Sweden)

    Márcia Aparecida Giacomini Rodrigues

    2006-08-01

    Full Text Available The aim of this study was to evaluate if the Kangaroo Mother Care (KMC interferes in the gain of weight and in the hospital length stay of the low birth weight preterm newborn (LWBPTN. For this, it was realized an analytic retrospective study, through the evaluation of the medical records of 60 LWBPTN with born weight less than 2000 g that received assistance by KMC, for a period of 2 hours per day and, 60 LWBPTN that received assistance by the Traditional Method of Care (TMC, admitted in the unity of neonatal intensive care and unity of premature of a private maternity in the city of Ribeirão Preto-SP, Brazil, comparing the gain of weight and the hospital length stay. We did not find differences statistically significant in relation to the gain of weight of the LWBPTN assisted by KMC, in relation to LWBPTN assisted by the TMC, 15,8 and 14,9 g/per day, respectively. In relation to the time of admission, we also did not find differences statistically significant, 27,3 and 26,2 days, for the LWBPTN in the KMC and TMC, respectively, although in the stratification of the sample, the LBWPTN with pregnancy age < 30 weeks or birth weight < 1500 g left the hospital 3 days earlier in the KMC. It was concluded that the KMC, in the conditions of this study, it seems not to interfere significatively in the gain of weight and in the time of admission of LWBPTN. We emphasize that the utilization of KMC in the assistance to the LWBPTN of low weight is a viable model, even for the private health institution.

  14. La crisis

    Directory of Open Access Journals (Sweden)

    Alan Greenspan

    2010-06-01

    Full Text Available Este artículo revisa las causas de la crisis, explora la naturaleza de la intermediación financiera, presenta un conjunto de reformas para superar las deficiencias de la estructura reguladora y examina el papel de la política monetaria en la crisis actual. Concluye que es primordial aumentar los requerimientos regulatorios de capital y de liquidez de los bancos e incrementar en forma significativa las garantías obligatorias de los productos financieros que se negocian globalmente.

  15. La crisis

    OpenAIRE

    Greenspan, Alan

    2010-01-01

    Este artículo revisa las causas de la crisis, explora la naturaleza de la intermediación financiera, presenta un conjunto de reformas para superar las deficiencias de la estructura reguladora y examina el papel de la política monetaria en la crisis actual. Concluye que es primordial aumentar los requerimientos regulatorios de capital y de liquidez de los bancos e incrementar en forma significativa las garantías obligatorias de los productos financieros que se negocian globalmente.

  16. My Mother

    Institute of Scientific and Technical Information of China (English)

    朱文章

    2016-01-01

    My mother is beautiful.She is about forty years old.She is a nurse.She loves her job and works hard.My family all like her.I love my mother,because she does most of the housework at home and she does everything for me.Every day she spends some time with me on my study.Sometimes she helps me with Maths and Chinese.She is

  17. Cuidados oferecidos pelas creches: percepções de mães e educadoras How mothers and educators perceive the care provided by daycare centers

    Directory of Open Access Journals (Sweden)

    Cláudia Maria Bógus

    2007-10-01

    Full Text Available OBJETIVOS: Este estudo teve como objetivos: a conhecer as percepções de mães de crianças de zero a dois anos sobre os cuidados desenvolvidos pelas creches freqüentadas por seus filhos; b conhecer as percepções das educadoras sobre o seu papel nos cuidados oferecidos às crianças e suas famílias. MÉTODOS: Foi utilizada a abordagem qualitativa de pesquisa, com aplicação da técnica do grupo focal. Foram realizados, em creches da Prefeitura do Município de São Paulo, cinco grupos focais com mães e dois com educadoras. RESULTADOS: No material obtido com as mães, foram identificados três eixos temáticos: relações da família com a creche; cuidados prestados à criança pela creche; creche enquanto política pública. Nos grupos das educadoras, os eixos foram: dificuldades dentro das rotinas de trabalho; relação educadora-família; relações com a coordenação da creche; inserção e capacitação profissional. CONCLUSÃO: As mães, por se considerarem privilegiadas em terem acesso às creches, apresentam baixa exigência com relação aos cuidados prestados. O que mais valorizam são os aspectos relacionados com alimentação, higiene e administração de medicamentos. Quanto às educadoras, há grandes limitações quanto às suas condições de trabalho, principalmente no que diz respeito ao pequeno número de profissionais. A relação educadora-família é ambígua: as educadoras ora consideram as mães omissas e irresponsáveis ora as consideram carentes e necessitadas de ajuda. São recomendadas futuras pesquisas sobre dois temas: a relação entre as creches e os serviços de saúde e as condições de trabalho das educadoras.OBJECTIVE: The objectives of this study were to (a know how mothers of infants (0 to 2 years perceived the care provided to their children by daycare centers and (b know how educators perceived their roles in the care provided to infants and their families. METHODS: The quantitative approach to

  18. 护理程序在流动人口妇幼保健管理中的应用%Application of nursing process in the management of mother and child care among floating population

    Institute of Scientific and Technical Information of China (English)

    陈国伶; 饶艳华

    2010-01-01

    Objective To explore the management mode for mother and child care service among floating population. Methods Nursing process was applied for assessment, diagnosis, plan, implementation and evaluation of management mode for mother and child care service among floating population in Shiqiao street, Xiacheng district, Hangzhou city. Results Compared with those three years before implementing the nursing process, the management of mother and child care was enhanced, for example, the record rate of pregnant woman increased by 208.82% and the systematic management rate increased by 32.70%, the record rate of child care increased by 931.73%, the systematic management rate of child care increased by 31.85%. Conclusions If used properly, nursing process can help to promote the management of mother and child care among floating population greatly.%目的 探讨为流动人口提供妇幼保健服务的管理模式.方法 应用护理程序对杭州市下城区石桥街道的流动人口妇幼保健管理进行评估、诊断、计划、实施和评价.结果 和实施计划前3年相比,流动人口妇幼保健管理得到了加强,如孕妇建卡率增加了208.82%,系统管理率提高了32.70%,儿童保健建卡率增加了931.73%,系统管理率提高了31.85%.结论 正确应用护理程序可以有效促进流动人口自觉纳入社区妇幼保健管理.

  19. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North-East India

    Directory of Open Access Journals (Sweden)

    Medhi R

    2016-04-01

    Full Text Available Robin Medhi, Banani Das, Arpana Das, Mansur Ahmed, Sonika Bawri, Suditi Rai Department of Obstetrics and Gynaecology, Silchar Medical College and Hospital, Silchar, Assam, India Purpose: To analyze the adverse obstetrical and perinatal outcome of adolescent mothers associated with first birth. Patients and methods: This prospective case-control study was conducted in a tertiary care teaching hospital of North-East India between January 2014 and December 2014. All adolescent primigravidae completing 28 weeks of gestation with singleton pregnancy and delivered at our institution were included in the study group. Primigravidae aged between 20 and 25 years were taken as a control group. Mothers having pregnancy complicated with diabetes mellitus, renal disorder, thyroid disorders, and cardiac diseases were excluded from the study. Demographic data, maternal complications like severe anemia, pre-eclampsia, eclampsia, gestational age at delivery, mode of delivery, and postpartum complications were compared. Among fetal complications, low-birth weight, preterm birth, neonatal intensive care unit admission, still birth, and early neonatal death were compared. All the patients were interviewed regarding contraceptive knowledge and its use preceding the pregnancy. Results: Quality antenatal care was received by 80.6% of adolescent mothers. The adolescent mothers had a higher incidence of pre-eclampsia (odds ratio [OR] 2.017 95% confidence interval [CI]: 1.045–3.894, P=0.03, preterm deliveries (OR: 1.655, 95% CI: 1.039–2.636, P=0.03. Among fetal outcomes, the low- birth weight babies (OR: 1.59, 95% CI: 1.016–2.478, low mean birth weight (2,544.4±622.09 g versus 2,701.6±582.51 g, and higher admission to neonatal intensive care unit (OR: 1.957, 95% CI: 1.120–3.417 were significantly associated with adolescent mothers. There was no significant difference found regarding the mode of delivery, still birth, and early neonatal death. Moreover

  20. Community strategies that improve care and retention along the prevention of mother-to-child transmission of HIV cascade: a review

    Directory of Open Access Journals (Sweden)

    Benjamin Ryan Phelps

    2012-07-01

    Full Text Available Introduction: While biomedical innovations have made it possible to prevent the vertical transmission of HIV from mother to child, poor retention along the prevention of mother-to-child transmission (PMTCT cascade continues to limit the impact of programmes, especially in low-resourced settings. In many of the regions with the highest burden of HIV and the greatest number of new paediatric cases, the uptake of facility-based care by pregnant women remains low. In such settings, the continuum of care for pregnant women and other women of reproductive age necessarily relies on the community. There is no recent review capturing effective, promising practices that are community-based and/or employ community-oriented groups to improve outcomes for the prevention of vertical transmission. This review summarizes those studies demonstrating that community-based and community-oriented interventions significantly influence retention and related outcomes along the PMTCT cascade. Methods: Literature on retention within prevention of vertical transmission programmes available on PubMed, Psych Info and MEDLINE was searched and manuscripts reporting on key prevention of vertical transmission outcomes were identified. Short-listed studies that captured significant PMTCT outcome improvements resulting from community-based interventions or facility-based employment of community cohorts (e.g. lay counsellors, community volunteers, etc. were selected for review. Results: The initial search (using terms “HIV” and “PMTCT” yielded 430 articles. These results were further narrowed using terminology relevant to community prevention of vertical transmission strategies addressing retention: “community,” “PMTCT cascade,” “retention,” “loss to follow up” and “early infant diagnosis.” Nine of these reported statistically significant improvements in key prevention of vertical transmission outcomes while meeting other review criteria. Short

  1. Crisis meeting

    CERN Multimedia

    Staff Association

    2014-01-01

      To all CERN staff: your rights are at risk ! We invite you to come to a crisis meeting on Wednesday 2nd April at 10:30 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned !

  2. Crisis meeting

    CERN Multimedia

    Staff Association

    2015-01-01

    To all CERN staff: your rights are at risk! We invite you to come to a crisis meeting on Thursday 7th May 2015 at 9 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned!

  3. Crisis Management

    Science.gov (United States)

    Brock, Stephen E., Ed.

    2011-01-01

    This paper presents summaries of four articles relevant to school crisis response. The first article, "Peritraumatic Dissociation Predicts Posttraumatic Stress in Youth Following Accidents" summarized by Jim Matthews, suggests that peritraumatic dissociation is a powerful predictor of PTSD symptoms among youth who have been in a car…

  4. The crisis in human resources for health care and the potential of a 'retired' workforce: case study of the independent midwifery sector in Tanzania.

    Science.gov (United States)

    Rolfe, Ben; Leshabari, Sebalda; Rutta, Fredrik; Murray, Susan F

    2008-03-01

    The human resource crisis in health care is an important obstacle to attainment of the health-related targets for the Millennium Development Goals. One suggested strategy to alleviate the strain upon government services is to encourage new forms of non-government provision. Detail on implementation and consequences is often lacking, however. This article examines one new element of non-government provision in Tanzania: small-scale independent midwifery practices. A multiple case study analysis over nine districts explored their characteristics, and the drivers and inhibitors acting upon their development since permitted by legislative change. Private midwifery practices were found concentrated in a 'new' workforce of 'later life entrepreneurs': retired, or approaching retirement, government-employed nursing officers. Provision was entirely facility-based due to regulatory requirements, with approximately 60 'maternity homes' located mainly in rural or peri-urban areas. Motivational drivers included fear of poverty, desire to maintain professional status, and an ethos of community service. However, inhibitors to success were multiple. Start-up loans were scarce, business training lacking and registration processes bureaucratic. Cost of set-up and maintenance were prohibitively high, registration required levels of construction and equipping similar to government sector dispensaries. Communities were reluctant to pay for services that they expected from government. Thus, despite offering a quality of basic maternity care comparable to that in government facilities, often in poorly-served areas, most private maternity homes were under-utilized and struggling for sustainability. Because of their location and emphasis on personalized care, small-scale independent practices run by retired midwives could potentially increase rates of skilled attendance at delivery at peripheral level. The model also extends the working life of members of a professional group at a time of

  5. For mothers and sisters: care of the reproductive female body in the medico-ritual world of early and medieval Japan.

    Science.gov (United States)

    Triplett, Katja

    2014-01-01

    While married female members of the Japanese aristocracy followed the ideal of bearing children, female Buddhist novices and ordained women, often belonging to the aristocracy themselves, had to abstain from sexual activity and reproduction in accordance with the ordination rules. Infertility was considered with disdain by the first group, whereas not bearing children was the utmost expression of leading a virtuous life for the second group. However, both groups were concerned with keeping their physical bodies healthy: some to become mothers, the others to live as nuns or religious sisters. Focusing on the early medieval period, this paper examines various sources to illuminate the ways in which women were cared for and the kind of views and ideas that informed this care. Instead of looking at the ancient methods of treatment through a modern "scientific" lens and sorting them into "proto-scientific" and "superstitious" categories, medico-ritual and religious views on the female body are explored as facets of the worldview prevalent in the period under consideration. Special attention is paid to relevant chapters of the first medical work produced in Japan, the Ishinpō, compiled by a court physician, Tanba no Yasuyori, in the late 10th century CE. The investigation of other sources, such as Buddhist legends and doctrinal texts, suggests that women were recommended to seek to overcome their femaleness altogether by transforming their female bodies into male bodies in order to reach ultimate "healing" in terms of salvation. In lay circles, however, the Buddhist divinities and other powerful deities were worshipped to ensure this-worldly "healing" in terms of successful procreation and continuation of the family line.

  6. Crisi della struttura o crisi della semantica?

    Directory of Open Access Journals (Sweden)

    Fedele Paolo

    2015-12-01

    Full Text Available Political crisis, crisis of the science, economic crisis or crisis of the society as a whole? The concept of “Crisis” is nowadays essential to describe social phenomena. But is this a structural crisis of contemporary society or is it a crisis of the semantics or is it a conceptual heritage used to describe the current evolution of society? Starting from the recent developments of systems theory, the paper tries to investigate the developmental phase of modern society and to re-position the concept of crisis in a founded epistemologically framework.

  7. Notable signs observed in the growth process of “siblings" of handicapped children : their cause and mother's care of ""siblings"

    OpenAIRE

    2003-01-01

    The purpose of this study was to elucidate anxiety symptoms (hereafter referred to as “signs") observed in the growth process of brothers and sisters of handicapped children (hereafter referred to as “siblings"), their cause, and the special attention of the mother in bringing up the siblings by interviewing handicapped children's mothers and “siblings". The results of the investigation revealed that 12 of 32 siblings of handicapped children brought up by 20 mothers showed some signs, and 10 ...

  8. Defining the crisis and crisis management

    OpenAIRE

    Racaj, Muhamet

    2016-01-01

    The crisis can now be played with little or no warning, anywhere, anytime. But it is not necessarily badnews. I tisa reality. The ability to manage changing situation and to bring sober decision - which is just another way of perceiving the crisis management - is vital to achieving success in the critical milestones in life, politics, the world in general. In the new circumstances arise new opportunities for successful early crisis management. What is the crisis? What is crisis manag...

  9. Mothers' part-time employment: associations with mother and family well-being.

    Science.gov (United States)

    Buehler, Cheryl; O'Brien, Marion

    2011-12-01

    The associations between mothers' part-time employment and mother well-being, parenting, and family functioning were examined using seven waves of the NICHD Study of Early Child Care and Youth Development data (N = 1,364), infancy through middle childhood. Concurrent comparisons were made between families in which mothers were employed part time and both those in which mothers were not employed and those in which mothers were employed full time. Using multivariate analysis of covariance with extensive controls, results indicated that mothers employed part time had fewer depressive symptoms during the infancy and preschool years and better self-reported health at most time points than did nonemployed mothers. Across the time span studied, mothers working part time tended to report less conflict between work and family than those working full time. During their children's preschool years, mothers employed part time exhibited more sensitive parenting than did other mothers, and at school age were more involved in school and provided more learning opportunities than mothers employed full time. Mothers employed part time reported doing a higher proportion of child care and housework than mothers employed full time. Part-time employment appears to have some benefits for mothers and families throughout the child rearing years.

  10. INVESTIGATION OF PURCHASING TRENDS OF AFTER BIRTH MOTHER AND BABY CARE ASSISTANT SERVICE WITH STRUCTURAL EQUATION MODELS

    Directory of Open Access Journals (Sweden)

    Münevver TURANLI

    2016-01-01

    Full Text Available Aim: The purpose of this study, 25-40 years married, gave birth in the last 5 years or are considering having children according to their answers to the survey on women in a buying trend, identify the factors that affect this trend and create sales and marketing strategy is to show the way for the sector to determine. Method: The research population aged 25-40 are married, have given birth in the last 5 years or so were women who are considering having children. Used in the research literature is very collection tool was created based on the research literature. Questions that we used in our study has been prepared in accordance with the opinion of the assistant nurses working in neonatal hospital care providers. The questionnaire was presented on social networking sites and answers are stored in a virtual environment. Data were analyzed by analysis and structural equation models were tried to be. Results: 173 women participated in the survey; The average age is 30 and 3.5% of primary school graduates, 28.3% graduated from high school or equivalent, 68.2% have graduated from college or higher education. The majority in terms of income level while a good income, have stated that they have a very small portion of the lower income levels. Conclusions: Service organizations that provide services to women’s needs and the expectations are in line with the family financially if it should make a compensation in the direction to exceed the budget.

  11. Information Crisis

    CERN Document Server

    Losavio, Michael

    2012-01-01

    Information Crisis discusses the scope and types of information available online and teaches readers how to critically assess it and analyze potentially dangerous information, especially when teachers, editors, or other information gatekeepers are not available to assess the information for them. Chapters and topics include:. The Internet as an information tool. Critical analysis. Legal issues, traps, and tricks. Protecting personal safety and identity. Types of online information.

  12. Gran Crisis

    OpenAIRE

    Verdu Maciá, Vicente

    2014-01-01

    La extensión y la duración de esta Gran Crisis ha adquirido tanta envergadura que sería inocente creer que tras ella las cosas seguirán siendo más o menos como antes. No sabemos con exactitud cómo será el porvenir, pero sin duda diferirá sustantivamente de este presente. Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.

  13. Evaluation of the Factors Concerning the Unexpected Pregnancy of Women who Applied to the Mother and Child Care and Family Planning Center of Van Province

    Directory of Open Access Journals (Sweden)

    Sebahat Gucuk

    2012-02-01

    Full Text Available Introduction: The purpose of this study is to evaluate the experiences of unexpected pregnancy and the related factors of the women who have applied to our center. Material and Method: The study was planned as a descriptive study which enrolled women in the age range of 15-49 on the basis of volunteerism who have applied to the Mother and Child Care and Family Planning Center of Van Province. The participants were administered a survey in which certain situations were questioned, such as age, educational background, age at first labor, income status, number of living children, miscarriage status, unexpected pregnancy status, the presence of trying to undergo an abortion with alternative methods, and the state of receiving consultancy service on pre- and post-pregnancy family planning. Results: The more increased the educational level of 399 women enrolled in the study, the more significant reduction in unexpected pregnancies was detected (P=0.001. When the educational background and the use of alternative methods to have an abortion were compared, the illiterate women were found to use alternative methods (37.6% at a significantly high ratio (p=0.0001. The average of children number of women with at least one unexpected pregnancy was significantly high (p=0.0001. While the ratio of receiving consultancy on post-pregnancy family planning from health care personnel of the women with unexpected pregnancy was 79.5%, a ratio of 97.9% was detected for the women with planned pregnancy which was significantly different (p=0.0001. Conclusion: The health care personnel may reduce the unexpected pregnancies by training women on family planning in a simple, understandable way and by trying to increase health literacy by taking the dominant social rules in our region into consideration. We consider that the primary healthcare will be more effective and result oriented through newly applied Family Practice in our region. Key Words: Unexpected pregnancy

  14. My Mother

    Institute of Scientific and Technical Information of China (English)

    于艺海; 胡宝兰

    2002-01-01

    My mother is a teacher She works in a middle school.She teaches music.She can sing very well She teaches four classes every day.She works very hard.She likes her work very much and she loves to work for children.too.

  15. Crisis Communication Online

    DEFF Research Database (Denmark)

    Utz, Sonja; Schultz, Friederike; Glocka, Sandra

    2013-01-01

    Social media play in today's societies a fundamental role for the negotiation and dynamics of crises. However, classical crisis communication theories neglect the role of the medium and focus mainly on the interplay between crisis type and crisis communication strategy. Building on the recently...... the effects of crisis type. Crisis communication via social media resulted in a higher reputation and less secondary crisis reactions such as boycotting the company than crisis communication in the newspaper. However, secondary crisis communication, e.g. talking about the crisis communication, was higher...... in the newspaper condition than in the social media conditions because people consider traditional media as more credible. We also found higher levels of anger in the intentional crisis condition than in the victim crisis condition. Anger in turn was related to reputation, secondary crisis communication...

  16. Towards elimination of mother-to-child transmission of HIV: performance of different models of care for initiating lifelong antiretroviral therapy for pregnant women in Malawi (Option B+

    Directory of Open Access Journals (Sweden)

    Monique van Lettow

    2014-07-01

    Full Text Available Introduction: Malawi introduced a new strategy to improve the effectiveness of prevention of mother-to-child HIV transmission (PMTCT, the Option B+ strategy. We aimed to (i describe how Option B+ is provided in health facilities in the South East Zone in Malawi, identifying the diverse approaches to service organization (the “model of care” and (ii explore associations between the “model of care” and health facility–level uptake and retention rates for pregnant women identified as HIV-positive at antenatal (ANC clinics. Methods: A health facility survey was conducted in all facilities providing PMTCT/antiretroviral therapy (ART services in six of Malawi's 28 districts to describe and compare Option B+ service delivery models. Associations of identified models with program performance were explored using facility cohort reports. Results: Among 141 health facilities, four “models of care” were identified: A facilities where newly identified HIV-positive women are initiated and followed on ART at the ANC clinic until delivery; B facilities where newly identified HIV-positive women receive only the first dose of ART at the ANC clinic, and are referred to the ART clinic for follow-up; C facilities where newly identified HIV-positive women are referred from ANC to the ART clinic for initiation and follow-up of ART; and D facilities serving as ART referral sites (not providing ANC. The proportion of women tested for HIV during ANC was highest in facilities applying Model A and lowest in facilities applying Model B. The highest retention rates were reported in Model C and D facilities and lowest in Model B facilities. In multivariable analyses, health facility factors independently associated with uptake of HIV testing and counselling (HTC in ANC were number of women per HTC counsellor, HIV test kit availability, and the “model of care” applied; factors independently associated with ART retention were district location, patient volume

  17. 从母亲素养角度谈儿童性教育的危机和策略%On Children's Sex Education from the Perspective of Mothers' Literacy:Crisis and Strategies

    Institute of Scientific and Technical Information of China (English)

    梁明月; 陶志琼; 谭再琼

    2012-01-01

      社会的性开放程度和儿童身心发展的特点迫使母亲们必须关注儿童性教育问题,然而这一重要命题尚未引起母亲们的足够重视。母亲在儿童的性教育过程中存在着诸多阻碍儿童获得健康的性信息的误区。母亲性教育素养的提升有助于促进儿童健康的性发展。应从性教育观念、性教育能力和性教育责任感的维度构建提升母亲性教育素养的理论模型,并通过利用相关知识资源与组织社会活等路径来提升母亲的性教育素养。%  Nowadays, sex liberation and properties of children's physical and mental development require mothers' attention to childhood sex education, an issue of ignorance. But mothers have misunderstandings of sex education that retard children’s access to healthy development of sex. Mothers' sex literacy education can help children to get healthy sex maturity. The paper suggests that mothers' sex literacy education model be theoretically constructed through utilizing relevant knowledge resources and social activities in the perspectives of sex education conceptions, capacities, and sense of responsibilities.

  18. Economic Crisis's Impact on Health Care System and the Implications:From an International Perspective%国际视阈下经济危机对卫生的影响及启示

    Institute of Scientific and Technical Information of China (English)

    陈丽; 姜鸿; 姚岚

    2014-01-01

    This paper analyzed economic crisis's impact on health care system and the consequent effect on citizen's health in different countries. Relevant measures and experiences in reacting to the economic crisis in different countries were de-scribed,which could be helpful for governments to improve the ability of resolving economic crisis effectively. Policy advices were proposed for making better strategies in the future.%本文分析了经济危机对各国卫生体系发展的影响,通过对经济危机影响各国卫生体系进而影响居民健康的分析,概括总结各国应对经济危机的相关经验和具体措施,有利于提高各国政府应对经济危机的能力,为今后制定更好的策略提供政策建议。

  19. High Adherence to Iron/Folic Acid Supplementation during Pregnancy Time among Antenatal and Postnatal Care Attendant Mothers in Governmental Health Centers in Akaki Kality Sub City, Addis Ababa, Ethiopia: Hierarchical Negative Binomial Poisson Regression

    Science.gov (United States)

    Gebreamlak, Bisratemariam; Dadi, Abel Fekadu; Atnafu, Azeb

    2017-01-01

    Background Iron deficiency during pregnancy is a risk factor for anemia, preterm delivery, and low birth weight. Iron/Folic Acid supplementation with optimal adherence can effectively prevent anemia in pregnancy. However, studies that address this area of adherence are very limited. Therefore, the current study was conducted to assess the adherence and to identify factors associated with a number of Iron/Folic Acid uptake during pregnancy time among mothers attending antenatal and postnatal care follow up in Akaki kality sub city. Methods Institutional based cross-sectional study was conducted on a sample of 557 pregnant women attending antenatal and postnatal care service. Systematic random sampling was used to select study subjects. The mothers were interviewed and the collected data was cleaned and entered into Epi Info 3.5.1 and analyzed by R version 3.2.0. Hierarchical Negative Binomial Poisson Regression Model was fitted to identify the factors associated with a number of Iron/Folic Acid uptake. Adjusted Incidence rate ratio (IRR) with 95% confidence interval (CI) was computed to assess the strength and significance of the association. Result More than 90% of the mothers were supplemented with at least one Iron/Folic Acid supplement from pill per week during their pregnancy time. Sixty percent of the mothers adhered (took four or more tablets per week) (95%CI, 56%—64.1%). Higher IRR of Iron/Folic Acid supplementation was observed among women: who received health education; which were privately employed; who achieved secondary education; and who believed that Iron/Folic Acid supplements increase blood, whereas mothers who reported a side effect, who were from families with relatively better monthly income, and who took the supplement when sick were more likely to adhere. Conclusion Adherence to Iron/Folic Acid supplement during their pregnancy time among mothers attending antenatal and postnatal care was found to be high. Activities that would address the

  20. A qualitative study on the child care experience in mothers of premature infants discharged from the neonatal intensive care unit%新生儿重症监护室出院早产儿母亲育儿生活体验的质性研究

    Institute of Scientific and Technical Information of China (English)

    周明芳; 藤本荣子; 晏玲; 王楠; 刘蕾

    2012-01-01

    目的 了解新生儿重症监护室出院早产儿母亲的育儿生活体验.方法 采用质性研究法,对16例早产儿母亲在婴儿出院后1个月时进行深度访谈.结果 母亲在早产儿出院后经历了“母乳喂养困难与哺乳不确定性的困惑”“自我育儿能力低下的无措感”“对早产儿常见症状的不安”“育儿负担感”“育儿信息所致的混乱与不安”等育儿体验.结论 早产儿母亲存在育儿困难,在育儿过程中感受到强烈的不安,探讨这个群体母亲的护理支持方案是当前急需解决的课题之一.%Objective To understand the child care experience in mothers of premature infants discharged from the neonatal intensive care unit (NICU). Methods In-depth interview was conducted on 16 mothers of premature infants one month after discharge from NICU. Results After discharged from NICU,the mothers experienced uncertainty of breastfeeding and frustration due to lack of breeding knowledge,sense of incompetency in child care,anxiety about symptoms of premature infants,burden of parenting, and confusion about conflict information for child care. Conclusion The mothers of premature infants experience difficulties and anxieties in child care. It is essential to further explore an effective nursing support program for the mothers of premature infants.

  1. Comprehensive health workforce planning: re-consideration of the primary health care approach as a tool for addressing the human resource for health crisis in low and middle income countries.

    Science.gov (United States)

    Munga, Michael A; Mwangu, Mughwira A

    2013-04-01

    Although the Human Resources for Health (HRH) crisis is apparently not new in the public health agenda of many countries, not many low and middle income countries are using Primary Health Care (PHC) as a tool for planning and addressing the crisis in a comprehensive manner. The aim of this paper is to appraise the inadequacies of the existing planning approaches in addressing the growing HRH crisis in resource limited settings. A descriptive literature review of selected case studies in middle and low income countries reinforced with the evidence from Tanzania was used. Consultations with experts in the field were also made. In this review, we propose a conceptual framework that describes planning may only be effective if it is structured to embrace the fundamental principles of PHC. We place the core principles of PHC at the centre of HRH planning as we acknowledge its major perspective that the effectiveness of any public health policy depends on the degree to which it envisages to address public health problems multi-dimensionally and comprehensively. The proponents of PHC approach in planning have identified inter-sectoral action and collaboration and comprehensive approach as the two basic principles that policies and plans should accentuate in order to make them effective in realizing their pre-determined goals. Two conclusions are made: Firstly, comprehensive health workforce planning is not widely known and thus not frequently used in HRH planning or analysis of health workforce issues; Secondly, comprehensiveness in HRH planning is important but not sufficient in ensuring that all the ingredients of HRH crisis are eliminated. In order to be effective and sustainable, the approach need to evoke three basic values namely effectiveness, efficiency and equity.

  2. The seroprevalence of hepatitis C virus infection among children and their mothers attending for dental care in Glasgow, Scotland, United Kingdom.

    Science.gov (United States)

    O'Leary, Maureen; Bagg, Jeremy; Welbury, Richard; Hutchinson, Sharon J; Hague, Rosie; Geary, Isabella; Roy, Kirsty M

    2016-08-24

    This paper describes a voluntary anonymous survey to investigate the seroprevalence of Hepatitis C (HCV) in children in Glasgow, UK attending a Dental Hospital and the proportion of HCV positive mothers who have a child who is HCV seropositive. The study was undertaken among children and accompanying parents and household contacts attending a general anaesthetic assessment clinic at Glasgow Dental Hospital and School. Children were asked to provide an oral fluid specimen for HCV testing. Accompanying adults were asked to provide demographic data on the child and information on familial risk factors for HCV infection using a standardised questionnaire. Birth mothers were also asked to provide an oral fluid specimen. Specimens and questionnaires were linked by a unique anonymous study number. Between June 2009 and December 2011, samples were collected from 2141 children and 1698 mothers. None of the samples from the children were HCV seropositive but 16 (0.9%, 95% CI 0.6-1.5%) of the specimens from mothers were HCV antibody positive. In summary, the prevalence of HCV seropositivity in the birth mothers of the children was similar to that estimated in the general population served by the hospital and showed no evidence of mother-to-child transmission of HCV.

  3. Atendimento à crise psíquica no pronto-socorro: visão de profissionais de enfermagem La atención a la crisis psíquica en la unidad de urgencias: la visión del equipo de enfermería Psychic crisis care in the emergency room: nursing staff's view

    Directory of Open Access Journals (Sweden)

    Leandro da Rosa Borges

    2012-09-01

    Full Text Available O objetivo do estudo foi conhecer a visão da equipe de enfermagem sobre o atendimento à crise psíquica em uma unidade de emergência de um Pronto-Socorro. Trata-se de um estudo de abordagem qualitativa que utilizou, como técnica para coleta de dados, a aplicação de entrevistas semiestruturadas com dois enfermeiros e três técnicos de enfermagem que trabalhavam na unidade de emergência durante o turno da manhã e tarde. A análise dos dados foi orientada a partir da análise de conteúdo com formação das seguintes categorias temáticas, que permitiram a melhor visualização dos resultados: o conceito de crise para a equipe do pronto-socorro e as diferentes expressões do sofrimento e os recursos terapêuticos para o enfrentamento e a minimização dos encargos da crise. Evidenciou-se que a equipe de enfermagem costuma justificar as dificuldades de atendimento à crise psíquica pela falta de tempo, inadequação do espaço físico e despreparo da mesma.El presente estudio tuvo como objetivo conocer la visión del equipo de enfermería sobre la atención a la crisis psíquica en una unidad de urgencias. Se trata de un estudio de abordaje cualitativo que utilizó, como técnica de recolección de datos, entrevistas semiestructuradas. Participaron de la investigación dos enfermeras y tres técnicos de enfermería que trabajaban en la unidad de urgencias durante las mañanas y las tardes. El análisis de datos fue orientado a partir de las siguientes temáticas: el concepto de crisis para el equipo de una unidad de urgencias y las diferentes expresiones del sufrimiento y los recursos terapéuticos para el enfrentamiento y disminución de los encargos de la crisis. Suele justificar las dificultades de atención a la crisis por la falta de tiempo, inadecuación de espacio físico y la falta de preparación de la misma.This study was aimed at finding out the nursing staff's view about psychic crisis care in an emergency room unit. This is a

  4. [Crisis and future of humanity].

    Science.gov (United States)

    Bellver Capella, Vicente

    2012-09-01

    We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e.,just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the "weak signals" the latent opportunities that await we become them realities.

  5. Neither father nor biological mother

    DEFF Research Database (Denmark)

    Dahl, Bente; Malterud, Kirsti

    2015-01-01

    -mother” wasperceived as a bureaucratic concept. Conclusion: For lesbian co-mothers, being recognized in maternity care implies that they are valued forthe qualities that separate them from other user groups on a personal level. On a societal level, beingrecognized is related to acknowledgement of inventive ways...

  6. 76 FR 27601 - Mother's Day, 2011

    Science.gov (United States)

    2011-05-11

    ... as families balance the demands of work, child and elder care, and education. My budget strengthens... the roles and responsibilities of mothers have evolved, their guidance and care remains as strong and... the women in our lives who care for us, shape our values, and set us on the path to a limitless...

  7. [Suicide crisis, psychological suffering and advanced age].

    Science.gov (United States)

    Hazif-Thomas, Cyril; Bordage, Catherine; Cornec, Gwenole; Berrouiguet, Sofian; Walter, Michel

    2014-01-01

    Bound to the idea of a crisis and the brutal intrusion of psychological suffering, the suicide drama rarely lends itself to a direct analysis which can highlight the different stages of its process. Taking into account increasing quantities of scientific data from current research and the spirit of crisis interventions is fundamental for allowing hopes of effective prevention. Speaking the same language by using the same conceptual basis, that of the suicide crisis, is a prerequisite in pedagogical terms for the current care management of suicidal patients.

  8. 北京市妇幼保健信息系统的开发及存在的问题%Development of Beijing Mother and Child Health Care Information System and its problems

    Institute of Scientific and Technical Information of China (English)

    马淼

    2014-01-01

    介绍了北京市妇幼保健信息系统及其特点,分析了妇幼保健信息系统用户的需求,归纳总结了系统存在的问题并对系统功能进行了验证,提出了系统后续开发的建议。%After a description of Beijing Mother and Child Health Care Information System and its characteristics , the needs of its users were analyzed, its problems were summarized, its functions were verified, and suggestions were proposed for its future development .

  9. 58例高血压危象患者的用药护理%58 Cases Medication Care of Patients with Hypertensive Crisis

    Institute of Scientific and Technical Information of China (English)

    祝卫东; 张新菊; 姚金良

    2014-01-01

    高血压危象是以动脉血压为特征,可伴有心脏,血管,脑,肾脏等器官功能性或器质性改变的全身性疾病,用药护理方面非常的重要,熟悉高血压危象处理原则,加强院前急救和并发症的处理,可有效的治疗高血压危象患者,挽救患者的生命。%Hypertensive crisis is characterized by arterial blood pressure, may be accompanied by heart, blood vessels, brain, kidney and other organs functional or structural changes of systemic disease, medication nursing is very important, familiar with hypertensive crisis treatment principles, to strengthen pre hospital first aid and treatment of complications, may be ef ective in the treatment of hypertension in the crisis, to save the lives of patients.

  10. Time allocation of the mother and child nutrition.

    Science.gov (United States)

    Popkin, B M

    1980-01-01

    The effects of labor force participation of mothers on dietary and time inputs into child care, as well as the resultant impact on the nutritional status of children from 34 rural barios in Laguna, Philippines, are examined. Rural mothers who engage in market activities especially in jobs incompatible with child care, are shown to reduce the time they devote to leisure and child care. Child care provided by older-sibling mother substitutes replaces a part of the mother's reduced child care time. Mothers who engage in market activities are able to provide their children with more calories and protein in relation to their needs. Analysis showed, however, that the intrahousehold time substitutions have net negative effects on the average nutritional status of children ages 1-71 months in each rural household. The results of this study are compatible with other studies which indicate potential conflicts between the mother's participation in market work and child nutrition.

  11. Application of solution-focused approach in psychological care for mothers of premature infants%聚焦解决模式在早产儿母亲心理护理中的应用

    Institute of Scientific and Technical Information of China (English)

    冯丽芳; 周兰英; 林雪斌; 魏丽华; 唐凤姣

    2013-01-01

    目的 探讨聚焦解决模式在早产儿母亲心理护理中的应用效果.方法 对2012年1月至9月入住我院新生儿监护病房(NICU)的189例早产儿母亲在早产儿入院时应用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HRSD)进行心理状况调查,筛选出77例存在焦虑、抑郁症状早产儿母亲,随机分为对照组39例和试验组38例,对照组实施常规心理护理,试验组实施聚焦解决模式为理论依据的心理护理干预.干预2周后再次对两组进行评分,比较干预前后焦虑、抑郁情况.结果 试验组及对照组HAMA、HRSD得分在干预2周后均有不同程度的下降,但两组干预后HAMA、HRSD得分比较差异有统计学意义(P<0.01).结论 聚焦解决模式能为早产儿母亲提供切实有效的心理支持,减轻焦虑、抑郁情绪.%Objective To explore the effects of solution-focused approach in psychological care for mothers of premature infants.Methods 77 mothers with anxiety and depressive symptoms who were choosen from the 189 mothers whose psychological state was detected with the Hamilton Anxiety Scale (HAMA) and Hamilton Rating Scale on admission were divided into a control group (39 mothers) and a study group (38 mothers).The control group received routine psychological nursing while the study group received psychological intervention strategy on the basis of solution-focused approach.Two weeks after intervention,symptoms of anxiety and depression were compared between the two groups.Results The scores on the HAMA and HRSD decreased in beth groups two weeks after intervention,with a significant statistical difference between the two groups (P<0.01).Conclusions Solution-focused approach can provide effective psychological support for mothers of premature infants to reduce anxiety and depression.

  12. Mother Trouble

    Directory of Open Access Journals (Sweden)

    Griselda Pollock

    2009-01-01

    Full Text Available In the late 1980s a practising painter who is also a practising psychoanalyst reflected upon the significance of events occurring in her painting and being reflected upon in her notebooks to evolve a major theoretical intervention in psychoanalytical thinking at the intersections of British Object Relations (Bion, Laing, Winnicott in which she was trained at the Tavistock and Parisian Lacanian and post Lacanian thinking (Laplanche, Guattari, Aulagnier, Dolto.  Supplementing the  then dominant understanding of Lacan's phallic Symbolic,  defined by the sovereignty of the phallus as the sole signifier, Bracha Ettinger proposed a further symbol, the Matrix and its non-phallic, non-Oedipal process, metramorphosis.  The matrixial enables us to catch up into theoretical knowledge another, shifting but not excluding dimension of  subjectivity that is the effect , on all subjects, irrespective of later, Oedipalised gender or sexuality, of the  feminine sexual specificity of human generation in the non-prohibited intimacy of the feminine-becoming-maternal-in co-emergence-with an-unknown-becoming-partial-other.  Moving beyond the theoretical engagements of object relations with early mother-child, hence post-natal relations between subjects, hence beyond intersubjectivity, Ettinger has been exploring, for almost two decades, the implications for theories of subjectivity and hence for ethics and even the politics of our multiple moments of transsubjective co-affections and co-effects, of the proposition that the feminine, understood as this sexual specificity of the severality of mutual co-effecting becoming of life, has something profound to offer our understanding of the human, its ethics, aesthetics and even politics.  Daring to theorize the gift to later subjectivities of the prolonged encounter-event between pre-natality and pre-maternity, Ettinger has contributed to debates about the maternal, the feminine and human subjectivity in general. In

  13. Dimensiones culturales en el proceso de atención primaria infantil: perspectivas de las madres Cultural dimensions of the childhood primary health care delivery from the mothers' perceptions in the Araucania-Chile

    Directory of Open Access Journals (Sweden)

    Ana María Alarcón-Muñoz

    2005-12-01

    Full Text Available OBJETIVO: Explorar las dimensiones culturales en el proceso de atención primaria infantil desde la perspectiva de las madres que acuden a centros de salud primaria en la región de la Araucania, Chile. MATERIAL Y MÉTODOS: Estudio cualitativo realizado durante el año 2003 en la zona de mayor índice de etnicidad del país. Los participantes fueron 94 madres mapuches y no mapuches a quienes se le aplicó una entrevista en profundidad. RESULTADOS: Tres dimensiones culturales surgieron del análisis: a modelos explicativos de enfermedad asociados a factores culturales, político-económicos, y ambientales; b itinerario terapéutico que combina recursos de los sistemas indígena, popular y biomédico; y c falta de competencia cultural del sistema de atención. CONCLUSIONES: Las madres conciben las enfermedades infantiles articulando componentes mágico-religiosos, y naturales (frío, calor, humedad. La atención de salud infantil enfrenta un importante desafío comunicacional en la superación de barreras sociales y lingüísticas entre madres y personal de salud.OBJECTIVE: To explore the cultural dimensions of the childhood primary health care delivery process from the mothers' perceptions in the Araucania region of Chile. MATERIAL AND METHODS: Qualitative study performed in the year 2003 within the zone with the highest ethnicity rate of the country. Ninety four Mapuche and non-Mapuche mothers agreed to be in depth interviewed. RESULTS: The analysis drew three cultural dimensions: a Explanatory models of disease were associated with cultural, political-economy, and environmental factors; b The therapeutic itinerary blends indigenous, popular, and biomedical resources and; c Health care delivery process lacks of cultural competence. CONCLUSIONS: The mothers explain their children diseases articulating religious, magic, and natural (hot, cold, humidity causes. The main challenge of the primary healthcare delivery process is to overcome the

  14. Guidelines for Crisis Management.

    Science.gov (United States)

    Wimberley, Lloyd

    1985-01-01

    The article offers guidelines for crisis prediction, preplanning, support team development, and post-crisis management that can handle aggressive behavior and convey to the child the existence of a legitimate system for enhancing positive self control. (CL)

  15. Juridica; Crisis en herstel

    NARCIS (Netherlands)

    Kistenkas, F.H.

    2010-01-01

    Het geruchtmakende wetsontwerp voor een Crisis- en Herstelwet wordt ook in de juridische kring nogal bekritiseerd en zelfs afgedaan als haastige gelegenheidswetgeving en politieke symboolwetgeving. Door de Crisis en Herstelwet worden ook enkele bepalingen van de Natuurbeschermingswet (Nbw) gewijzigd

  16. 实施个体化照护指导对早产儿母亲不确定感效果探讨%Individualized care and guidance for feeling of uncertainty of preterms' mothers

    Institute of Scientific and Technical Information of China (English)

    邱丽娜; 陈倪; 林娜

    2015-01-01

    Objective To explore the effect of implementing individualized mother-infant rooming-in care and guidance of premature for the mothers' feeling of uncertainty before hospital discharge.Methods 98 mothers with their infants in preparation for discharge were randomized into a control group and a trial group.Manuals of health care and health education were provided for the control group before discharge.In addition,the premature infants and mothers in the trial group were rooming-in for 3-5 days while the care guidance was given before discharge.The satisfaction for the nursing service as well as the efficacy of the intervention were evaluated by the depression self rating scale (SDS) and self rating anxiety scale (SAS) were compared between the two groups.Results The nursing service satisfaction,SDS and SAS of the trial group were significantly better than those of the control group (P<0.05).Conclusion Individualized rooming-in care and guidance before hospital discharge of premature infants reduces the uncertainty of the mothers and improves their satisfaction for the nursing service.The method may provide a smooth transition for the patients from hospital to home care.%目的 探讨实施出院计划——早产儿出院前实施母婴同室个体化照护指导对早产儿母亲不确定感的效果.方法 将98例准备出院的早产儿母亲随机分成对照组和观察组,对照组为家长提供健康教育和出院宣教手册.观察组在此基础上实施出院计划,早产儿出院前实施母婴同室3~5天,予个体化照护指导,家长照护能力及信心都达到满意的水平,办理出院.比较两组早产儿母亲对护理服务满意度,并采用Zung抑郁自评量表(Self-Rating Depression Scale,SDS)及焦虑自评量表(Self-Rating Anxiety Scale,SAS)评价干预效果.结果 观察组早产儿母亲对护理服务满意度、SDS及SAS评分显著优于优于对照组,差异有统计学意义(P<0.05).结论 早产儿出院前实施母

  17. Efeitos do Método Mãe Canguru nos sinais vitais de recém-nascidos pré-termo de baixo peso Effects of Kangaroo Mother Care on the vital signs of low-weight preterm newborns

    Directory of Open Access Journals (Sweden)

    CM Almeida

    2007-02-01

    Full Text Available OBJETIVO: Avaliar as freqüências cardíaca e respiratória, a pressão arterial média, a temperatura e a saturação periférica de oxigênio dos recém-nascidos pré-termo (RNPT de baixo peso, antes e após a aplicação do MMC. MÉTODOS: Foram avaliados 22 RNPT de baixo peso, saudáveis, de ambos os sexos, não portadores de deficiências neurológicas, cardíacas e/ou respiratórias. A avaliação foi realizada após trinta minutos de permanência do RNPT em berço comum e após trinta minutos de aplicação do MMC, por 3 dias consecutivos. Para a avaliação, foram utilizados monitor cardíaco com dispositivo para medida da pressão arterial média de forma não invasiva e sensor para a oximetria de pulso, termômetro e cronômetro. RESULTADOS: Os resultados não mostraram alterações significativas quanto à pressão arterial média (p> 0,05 e freqüência cardíaca (p> 0,05 após a aplicação do MMC, mas, por outro lado, houve aumento significativo da temperatura axilar (pOBJECTIVE: The aim of this study was to evaluate the heart and respiration rates, mean arterial pressure, temperature and peripheral oxygen saturation of low-weight preterm newborns, before and after the application of kangaroo mother care. METHOD: Twenty-two healthy low-weight preterm newborns of both sexes were studied. None of them had neurological, cardiac and/or respiratory deficiencies. Assessments were made after the newborn had been left in an ordinary cot for 30 minutes and after 30 minutes of kangaroo mother care, on three consecutive days. For these evaluations, a heart monitor with a device for non-invasively measuring mean arterial pressure, a sensor for pulse oximetry, a thermometer and a chronometer were utilized. RESULTS: There were no significant changes in mean arterial pressure (p> 0.05 or heart rate (p> 0.05 after applying kangaroo mother care. However, there were significant increases in axillary temperature (p< 0.05 and peripheral oxygen

  18. Crisis Management: Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel

    2013-01-01

    This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…

  19. Suicidal mothers

    Directory of Open Access Journals (Sweden)

    Salvatore Gentile

    2011-07-01

    Full Text Available Background: Epidemiological research has demonstrated that suicidal ideation is a relatively frequent complication of pregnancy in both developed and developing countries. Hence, the aims of this study are: to assess whether or not pregnancy may be considered a period highly susceptible to suicidal acts; to recognize potential contributing factors to suicidal behaviors; to describe therepercussions of suicide attempts on maternal, fetal, and neonatal outcome; to identify a typical profile of women at high risk of suicide during pregnancy.Methods: Medical literature information published in any language since 1950 was identified using MEDLINE/PubMed, Scopus, and Google Scholar databases. Search terms were: “pregnancy”,(antenatal “depression”, “suicide”. Searches were last updated on 28 September 2010. Forty-six articles assessing the suicidal risk during pregnancy and obstetrical outcome of pregnancies complicated by suicide attempts were analyzed, without methodological limitations.Results: Worldwide, frequency of suicidal attempts and the rate of death by suicidal acts are low. Although this clinical event is rare, the consequences of a suicidal attempt are medically andpsychologically devastating for the mother-infant pair. We also found that common behaviors exist in women at high risk for suicide during pregnancy. Review data indeed suggest that a characteristicprofile can prenatally identify those at highest risk for gestational suicide attempts.Conclusions: Social and health organizations should make all possible efforts to identify women at high suicidal risk, in order to establish specific programs to prevent this tragic event. The available data informs health policy makers with a typical profile to screen women at high risk ofsuicide during pregnancy. Those women who have a current or past history of psychiatric disorders,are young, unmarried, unemployed, have incurred an unplanned pregnancy (eventually terminated with an

  20. Lone mothers in Sweden

    DEFF Research Database (Denmark)

    Burström, B; Diderichsen, Finn; Shouls, S

    1999-01-01

    To study trends in the health and socioeconomic circumstances of lone mothers in Sweden over the years 1979-1995, and to make comparisons with couple mothers over the same period.......To study trends in the health and socioeconomic circumstances of lone mothers in Sweden over the years 1979-1995, and to make comparisons with couple mothers over the same period....

  1. Social class, anxieties and mothers' foodwork.

    Science.gov (United States)

    Wright, Jan; Maher, JaneMaree; Tanner, Claire

    2015-03-01

    In the context of concerns about childhood obesity, mothers are placed at the forefront of responsibility for shaping the eating behaviour and consequently the health of their young children. This is evident in a multitude of diverse sites such as government reports, health promotion materials, reality TV shows and the advice of childcare nurses and preschools. These sites produce a range of resources available to mothers to draw on to constitute themselves as mothers in terms of caring for their children's health. Drawing on a qualitative study of mothers recruited through three Australian preschool centres, this article examines how the working-class and middle-class mothers of preschool-aged children engage with knowledge about motherhood, children and health and how those engagements impact on their mothering, their foodwork and their children. We argue that, unlike the working-class mothers pathologised in some literature on obesity, these working-class mothers demonstrated a no-nonsense (but still responsibilised) approach to feeding their children. The middle-class mothers, on the other hand, were more likely to engage in practices of self-surveillance and to demonstrate considerable anxieties about the appropriateness of their practices for their children's current and future health.

  2. Integration of prevention of mother-to-child transmission of HIV (PMTCT postpartum services with other HIV care and treatment services within the maternal and child health setting in Zimbabwe, 2012.

    Directory of Open Access Journals (Sweden)

    Katherine Wiegert

    Full Text Available We assessed the integration of PMTCT services during the postpartum period including early infant diagnosis of HIV (EID and adult and pediatric antiretroviral therapy (ART in maternal and child health (MCH facilities in Zimbabwe.From August to December 2012 we conducted a cross-sectional survey of a nationally representative sample of 151 MCH facilities. A questionnaire was used to survey each site about staff training, dried blood spot sample (DBS collection, turnaround time (TAT for test results, PMTCT services, and HIV care and treatment linkages for HIV-infected mothers and children and HIV-exposed infants. Descriptive analyses were used. Of the facilities surveyed, all facilities were trained on DBS collection and 92% responded. Approximately, 99% of responding facilities reported providing DBS collection and a basic HIV-exposed infant service package including EID, extended nevirapine prophylaxis, and use of cotrimoxazole. DBS collection was integrated with immunisations at 83% of facilities, CD4 testing with point-of-care machines was available at 37% of facilities, and ART for both mothers and children was provided at 27% of facilities. More than 80% of facilities reported that DBS test results take >4 weeks to return; TAT did not have a direct association with any specific type of transport, distance to the lab, or intermediate stops for data to travel.Zimbabwe has successfully scaled up and integrated the national EID and PMTCT programs into the existing MCH setting. The long TAT of infant DBS test results and the lack of integrated ART programs in the MCH setting could reduce effectiveness of the national PMTCT and ART programs. Addressing these important gaps will support successful implementation of the 2014 Zimbabwe's PMTCT guidelines under which all HIV-infected pregnant and breastfeeding women will be offered life-long ART and decentralized ART care.

  3. A Self-Insured Health Program: From Crisis to Opportunity

    Science.gov (United States)

    Steffes, Gary D.

    2008-01-01

    Moberly Area Community College faced a crisis in healthcare coverage that eventually lead to enhanced benefits, greater control, plan stability, and increased flexibility through a self-insured program. Presented here is how Moberly Area Community College overcame the health care coverage crisis and how other institutions can benefit from the…

  4. 危机管理在急诊护理中的应用探析%Crisis management in the application of emergency care

    Institute of Scientific and Technical Information of China (English)

    王殿林

    2014-01-01

    目的:对应用危机管理模式在对急诊患者实施护理管理中的临床效果进行研究。方法:将我院收治的50例急诊科患者随机分为对照组和观察组,平均每组25例。采用常规急诊护理管理模式对对照组实施护理管理;采用危机管理模式对观察组实施护理管理。结果:观察组患者对急诊治疗期间护理管理模式的满意度明显高于对照组;急诊治疗所需时间明显短于对照组;医疗纠纷发生率明显低于对照组。结论:应用危机管理模式对急诊患者实施护理管理的临床效果非常明显。%objective: To apply the crisis management model for emergency patients to study the clinical effect of nursing management. Methods: 50 cases of our hospital's emergency department patients were randomly divided into control group and observation group, an average of 25 cases in each group. The conventional emergency nursing management mode to control the implementation of nursing management; Observation group the crisis management pattern on the implementation of nursing management. Results: The observation group of patients to nursing management mode during the period of emergency treatment satisfaction is significantly higher than control group;Time needed for emergency treatment obviously shorter than the control group;The incidence of medical disputes significantly lower than the control group. Conclusion:The application of crisis management mode on nursing management in emergency patients clinical effect is very obvious.

  5. L’Italia: una crisi nella crisi

    Directory of Open Access Journals (Sweden)

    Carlo D'ippoliti

    2011-10-01

    Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.  JEL Codes: B50; E12; G01Keywords: crisis, euro, sovereign, Italy, credit default swaps

  6. [Crisis and nurses].

    Science.gov (United States)

    Martínez Riera, José Ramón

    2012-02-01

    Nobody can escape that we are in crisis. Already are responsible every day media, risk agencies and abstract but crucial markets reminded us. In this crisis, deep, prolonged and distressing health systems have been in the spotlight of national Governments and corporations, as key elements of building and resolution of the crisis. Generation because it interprets its inefficiency is responsible for much of the crisis. Resolution because it is understood that actions that envelope the same are carried out they shall foster the output. So then we have two key elements: crisis and health systems, which combine very differently but which inevitably and unfortunately have been associated on a permanent basis. To understand this symbiosis and try to analyze it I operate the simple formula of semantically understanding what is crisis and what health crisis.

  7. Macro shocks and micro outcomes: child nutrition during Indonesia's crisis.

    Science.gov (United States)

    Block, Steven A; Kiess, Lynnda; Webb, Patrick; Kosen, Soewarta; Moench-Pfanner, Regina; Bloem, Martin W; Timmer, C Peter

    2004-03-01

    A survey of households in rural Java is used to assess the nutritional impact of Indonesia's drought and financial crisis of 1997/1998. A time-age-cohort decomposition reveals significant nutritional impacts. However, child weight-for-age (WAZ) remained constant throughout the crisis, despite rapid increases in food prices and the consequent household consumption shock. The evidence is consistent with the hypothesis that within households, mothers buffered children's caloric intake, resulting in increased maternal wasting. However, reductions in the consumption of high-quality foods further resulted in increased prevalence of anemia for both mothers and children. The combined effects were particularly severe for cohorts conceived and weaned during the crisis.

  8. Práticas populares de mães adolescentes no cuidado aos filhos Prácticas populares de madres adolescentes en el cuidado a los hijos General practice of teenage mothers caring for their children

    Directory of Open Access Journals (Sweden)

    Keli Regiane Tomeleri

    2009-06-01

    N: Los profesionales de salud precisan conocer las creencias y prácticas de las madres adolescentes para entonces planificar, de la mejor forma posible, la asistencia a ser prestada al binomio madre-hijo.OBJECTIVE: To identify and describe popular practices of teenage mothers caring for their children during the first six month after birth. METHODS: A qualitative approach was used with six teenage mothers from the city of Cambé, PR. Data were collected through semi-structured interviews from February to April 2007. Interviews were conducted in the participants' home in four different times (one week, one month, four months, and six months after the birth. RESULTS: Findings suggested that teenage mothers use popular practices that were part of their family and community culture when caring for their children. These popular practices included cross breast-feeding, teas, syrups, and blessing's plays to treat adverse events, and popular beliefs regarding the umbilical stump, hiccups, and sleeping pattern. CONCLUSION: Health professionals must be aware of practices and beliefs of teenage mothers in order to plan quality care to the mother-child binomial.

  9. Listening to Hispanic mothers: guidelines for teaching.

    Science.gov (United States)

    Wilson, A H; Robledo, L

    1999-01-01

    Teaching Hispanic mothers in a culturally sensitive way to care for their children is a challenge to pediatric nurses. Pediatric nurses must be familiar with customs and the folk medicine practiced by Hispanic mothers. It is very important that the pediatric nurse listens to the voices of Hispanic mothers to determine their health practices, and those that may have been used in their children. Familiarity with folk medicine and health practices will facilitate an appropriate treatment plan and will help to determine whether the mothers' practices are dangerous or beneficial for the child. Pediatric nurses should assess for concurrent use of home remedies and conventional medications to determine if there are any known interactive effects. Finally, increasing the number of pediatric nurses who are fluent in Spanish will enable the voices of Hispanic mothers to be better heard, which in turn, will improve the health status of Hispanic children.

  10. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    Science.gov (United States)

    Chebbi, Hela; Pündrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…

  11. Mother's educational level and single motherhood: Comparing Spain and Italy

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    Anna Garriga

    2015-12-01

    Full Text Available Background: During the second half of the 20th century there was a positive relationship between single parenthood and the mother's educational level in Spain and Italy. Objective: However, several important transformations contemplated by Goode (1993 and McLanahan (2004 suggest that this relationship may have been inverted in Spain but perhaps not in Italy. The purpose of our study is to test this hypothesis. Methods: We use EU_SILC data from waves 2005 and 2011 and logistic regressions. Results: We found the relationship between the mother's educational level and being a single mother is negative in Spain, while it is not significant in Italy. However, we found that for Italian mothers aged 40 and younger and mothers from northwest Italy, this relationship is also negative. By contrast, for older mothers and mothers from the islands or southern Italy, this association is positive. Meanwhile, for mothers from the central and northeast regions, the relationship between educational level and single motherhood is not significant. Conclusions: These results show how Spain and some parts of Italian society are moving towards family models similar to those in the Northern European countries. As Sara McLanahan (2004 noted for the United States, this social transformation in Southern Europe cannot be considered without recognizing the potential negative consequence for future generations. The single-mother households dealing with the economic crisis that started in 2008 have lower socioeconomic backgrounds than the single mothers who suffered through previous crises, and therefore the consequences of this crisis for children in single-parent families might be even more negative, especially in Spain.

  12. Improving uptake and engagement with child body image interventions delivered to mothers: Understanding mother and daughter preferences for intervention content.

    Science.gov (United States)

    Garbett, Kirsty M; Diedrichs, Phillippa C

    2016-12-01

    Mothers are a key influence on adolescent girls' body image. This study aimed to improve understanding of mothers' and daughters' preferences for content in body image interventions designed to assist mothers to promote positive body image among their daughters. British mother-daughter dyads (N=190) viewed descriptions of five evidence-based influences on body image (family, friends, and relationships; appearance-based teasing; media and celebrities; appearance conversations; body acceptance and care). Mothers and daughters each selected the two most important influences to learn about in these interventions. Overall, both mothers and daughters most frequently opted for family, friends, and relationships and body acceptance and care, whereas media and celebrities was their least preferred topic. While the overall sample of mothers and daughters agreed on preferences, Fisher's exact tests showed that within-dyad agreement was low. Recommendations for improving parent and child engagement with, and effectiveness of, child body image interventions delivered to parents are discussed.

  13. Application of 4R-model crisis management theory in skin care of patients in ICU%4R危机管理理论在ICU患者皮肤保护中的应用效果

    Institute of Scientific and Technical Information of China (English)

    张雪娇

    2016-01-01

    Objective To explore the application of 4R-model crisis management theory in skin care of patients in ICU.Methods A total of 800 patients in ICU of our hospital between January and December 201 3 were included as control group received routine skin care.A total of 850 patients in ICU of our hospital between January and December 201 4 were included in observation group and given skin care based on 4R-model crisis management theory. The incidence of pressure ulcers, skin damage, eczema, scald, frostbite and the improvement of pressure ulcers were record and compared in two groups.Results The incidence of skin problems in the observation group was significantly lower than that in the control group.The difference between two groups was statistically significant (P <0.05).The score of nursing quality in the observation group was higher than that in the control group.The difference between two groups was statistically significant (P <0.05).Conclusions The application of 4R-model crisis management theory can effectively prevent the occurrence of skin complications of patients in ICU,and provide a scientific,continuous and effective management for skin care of patients in ICU.%目的:探讨4R 危机管理理论在 ICU 患者皮肤保护中的应用效果。方法以2013年1—12月哈尔滨医科大学第一附属医院 ICU 收治的800例患者为对照组,以常规皮肤护理方法护理;以2014年1—12月我院 ICU 收治的850例患者为观察组,对患者采用4R 危机管理理论进行皮肤护理管理。护理期间记录并比较两组压疮、皮肤破损、湿疹、冻(烫)伤发生率和院外压疮好转情况。结果观察组皮肤问题发生率明显低于对照组,两组比较差异有统计学意义(P <0.05);观察组护理工作质量评分均优于对照组,两组比较差异有统计学意义(P <0.05)。结论4R 危机管理理论可有效预防 ICU 患者皮肤相关并发症的发生,为 ICU 患者皮肤管

  14. Research progress on kangaroo mother care in nursing of preterm infants%袋鼠式护理在早产儿护理中的研究进展

    Institute of Scientific and Technical Information of China (English)

    田莉; 丁晓华; 武玉蓉

    2011-01-01

    With the development of perinatology and neonatology,the survival rate of preterm infants was improved a lot,the preterm infants become one of the important study in nowdays.there have been many studies about nursing of preterm infants,This article summarizes research progress on kangaroo mother care in nursing of preterm infants.%随着围产医学和新生儿医学的迅速发展,早产儿的存活率得到极大提高,早产儿成为当今研究的重要内容之一.有关早产儿护理干预的研究也很多,现就袋鼠式护理在早产儿护理中的研究进展综述如下.

  15. An alternative perspective on how laboratory medicine can contribute to solve the health care crisis: a model to save costs by acquiring excellence in diagnostic systems.

    Science.gov (United States)

    Mussap, Michele

    2014-01-01

    The rapid escalation in health care costs has led to the idea to deliver better care at lower costs, reshaping the responsibilities of the health care system to achieve the goal of creating value for the patient. The pressure for fiscal containment and the progressive reduction in available health care resources originated very short term strategies consisting of abrupt reductions in expenditure, specifically in the provision of clinical pathology laboratory medicine services. However, the impact of laboratory test results on diagnostic and therapeutic interventions has increased enormously in the past decade, due to advances in personalized medicine and to the strictly correlated requirement to use new biomarkers with increasing sensitivity and specificity in clinical practice. In order to create savings by delivering better care there is the need to invest financial resources in purchasing high technology and new sophisticated tests and to promote the expertise of clinical pathologists and laboratory medicine professionals. This approach to creating value in patient health care is more productive and sustainable ethically, morally and economically as a long-term strategy. It can be successfully achieved by applying defined rules that make public-private cooperation clearer, skipping incompatible solutions such as transforming clinical laboratories to 'industrially productive premises', outsourcing laboratory medicine services and using central acquisition of diagnostic systems.

  16. L’Italia: una crisi nella crisi

    Directory of Open Access Journals (Sweden)

    Alessandro Roncaglia

    2011-01-01

    Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.

  17. Sickle Cell Crisis (For Teens)

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Sickle Cell Crisis (Pain Crisis) KidsHealth > For Teens > Sickle Cell ... Crisis drepanocíticas (Crisis de dolor) What Is a Sickle Cell Crisis? Sickle cell disease changes the shape of ...

  18. [Psychological containment put to the test by a crisis].

    Science.gov (United States)

    Grison-Curinier, Juliete; Limongi, Marc; Bocoum, Amadou

    2014-01-01

    In the first-time admission unit, psychological containment is based essentially on receivingthe patient in crisis. While the management of the crisis is inseparable from containment, the drawing up of the patient's history, centred on observation, transfer and the clinical aspect, is a key stage in the patient's care. In an institution, the nursing team will, through its creativity, invent the care, seeking a possible alliance.

  19. [Intraoperative crisis and surgical Apgar score].

    Science.gov (United States)

    Oshiro, Masakatsu; Sugahara, Kazuhiro

    2014-03-01

    Intraoperative crisis is an inevitable event to anesthesiologists. The crisis requires effective and coordinated management once it happened but it is difficult to manage the crises properly under extreme stressful situation. Recently, it is reported that the use of surgical crisis checklists is associated with significant improvement in the management of operating-room crises in a high-fidelity simulation study. Careful preoperative evaluation, proper intraoperative management and using intraoperative crisis checklists will be needed for safer perioperative care in the future. Postoperative complication is a serious public health problem. It reduces the quality of life of patients and raises medical cost. Careful management of surgical patients is required according to their postoperative condition for preventing postoperative complications. A 10-point surgical Apgar score, calculated from intraoperative estimated blood loss, lowest mean arterial pressure, and lowest heart rate, is a simple and available scoring system for predicting postoperative complications. It undoubtedly predicts higher than average risk of postoperative complications and death within 30 days of surgery. Surgical Apgar score is a bridge between proper intraoperative and postoperative care. Anesthesiologists should make effort to reduce the postoperative complication and this score is a tool for it.

  20. Casualties of the Global War on Terror and their future impact on health care and society: a looming public health crisis.

    Science.gov (United States)

    Baker, Michael S

    2014-04-01

    This article is a primer to understand the medical advances and the future health care consequences of the current conflicts in the Middle East and Southwest Asia, known as the Global War on Terror. There have been significant advances in health care learned in caring for those injured by the conflict--often a polytrauma blast victim, but there are also very high incidence rates of the hidden injuries of war--traumatic brain injury, post-traumatic stress disorder, suicide, and depression. These lead to disruptive behaviors, homelessness, and family violence. Global War on Terror returnees are using medical services and applying for disability at higher rates than in previous conflicts. The costs for veterans' care may peak 30 to 40 years or longer following the conflict, and will inflict an enormous burden on services and resources. The effects of the war will linger for years and impact across generations because of the stress on families and children. We must mobilize government agencies, create public-private partnerships, and invest our resources now to mitigate the approaching tsunami of veterans' health care needs, the impact on our social services, and the devastating costs to society.

  1. Financial crisis, austerity, and health in Europe.

    Science.gov (United States)

    Karanikolos, Marina; Mladovsky, Philipa; Cylus, Jonathan; Thomson, Sarah; Basu, Sanjay; Stuckler, David; Mackenbach, Johan P; McKee, Martin

    2013-04-13

    The financial crisis in Europe has posed major threats and opportunities to health. We trace the origins of the economic crisis in Europe and the responses of governments, examine the effect on health systems, and review the effects of previous economic downturns on health to predict the likely consequences for the present. We then compare our predictions with available evidence for the effects of the crisis on health. Whereas immediate rises in suicides and falls in road traffic deaths were anticipated, other consequences, such as HIV outbreaks, were not, and are better understood as products of state retrenchment. Greece, Spain, and Portugal adopted strict fiscal austerity; their economies continue to recede and strain on their health-care systems is growing. Suicides and outbreaks of infectious diseases are becoming more common in these countries, and budget cuts have restricted access to health care. By contrast, Iceland rejected austerity through a popular vote, and the financial crisis seems to have had few or no discernible effects on health. Although there are many potentially confounding differences between countries, our analysis suggests that, although recessions pose risks to health, the interaction of fiscal austerity with economic shocks and weak social protection is what ultimately seems to escalate health and social crises in Europe. Policy decisions about how to respond to economic crises have pronounced and unintended effects on public health, yet public health voices have remained largely silent during the economic crisis.

  2. Research report--Volunteer infant feeding and care counselors: a health education intervention to improve mother and child health and reduce mortality in rural Malawi.

    Science.gov (United States)

    Rosato, Mikey; Lewycka, Sonia; Mwansambo, Charles; Kazembe, Peter; Phiri, Tambosi; Chapota, Hilda; Vergnano, Stefania; Newell, Marie-Louise; Osrin, David; Costello, Anthony

    2012-06-01

    The aim of this report is to describe a health education intervention involving volunteer infant feeding and care counselors being implemented in Mchinji district, Malawi. The intervention was established in January 2004 and involves 72 volunteer infant feeding and care counselors, supervised by 24 government Health Surveillance Assistants, covering 355 villages in Mchinji district. It aims to change the knowledge, attitudes and behaviour of women to promote exclusive breastfeeding and other infant care practices. The main target population are women of child bearing age who are visited at five key points during pregnancy and after birth. Where possible, their partners are also involved. The visits cover exclusive breastfeeding and other important neonatal and infant care practices. Volunteers are provided with an intervention manual and picture book. Resource inputs are low and include training allowances and equipment for counselors and supervisors, and a salary, equipment and materials for a coordinator. It is hypothesized that the counselors will encourage informational and attitudinal change to enhance motivation and risk reduction skills and self-efficacy to promote exclusive breastfeeding and other infant care practices and reduce infant mortality. The impact is being evaluated through a cluster randomised controlled trial and results will be reported in 2012.

  3. Managed care and economic dynamics.

    Science.gov (United States)

    Riggs, J E

    1996-09-01

    Over the past several decades, health care delivery in the United States evolved in an environment lacking marketplace constraints. The unforeseen result was the current health care crisis--uncontrolled costs, shrinking access, and redundant technological capabilities. Managed care is a strategy to impose fiscal constraints on health care delivery. A diagrammatic analysis of the economic dynamics between consumers and producers in an open marketplace is compared with that of patients, providers, and payers under the health care scheme that produced the health care crisis and under managed care. Patient demands, expectations, and needs for health care are not subject to fiscal constraint under managed care since the dislinkage between consumer and payer still exits. Managed care does not impose true open marketplace fiscal constraints on health care delivery. Furthermore, any solution to the US health care crisis that used true marketplace fiscal constraints would necessitate fundamental changes in societal values concerning individual rights to health care.

  4. Volunteerism: 'community mothers' in action.

    Science.gov (United States)

    Downie, Jill; Clark, Kim; Clemenston, Katy

    Volunteers represent a growing, but often undervalued, section of service delivery in many areas in the community, particularly in health care. This paper is centred on volunteers' perceptions and experiences of home visiting gained through the implementation of the Community Mothers (CM) program in Western Australia (WA). Further, the paper aims to inform debate about the issue of professional versus non-professional home visitors and offers a perspective on the issue that may provide direction for policy makers and practitioners. This qualitative study involved individual telephone interviews with a volunteer sample of 12 participants, purposefully selected. Transcription data from each interview were examined and coded utilising an adapted method of content analysis described by Burnard (1991). Three main themes emerged in the findings as to why volunteers became involved in the Community Mothers Program: (1) Empathetic concern; (2) Contribution to community life; and (3) Lifecourse issues and personal development. With experiences of volunteers in home visiting, four main themes reflected the participants' views: (1) Facilitating client empowerment; (2) Facilitating personal empowerment; (3) Promoting social connectedness; and (4) Enabling goal setting. Although programs such as the Community Mothers Program aim to benefit and support mothers in the parenting role it is clear that there are benefits that emerge also for the individual volunteer, such as increased self-esteem, self-efficacy and satisfaction. Hence, measuring the overall outcomes that result from such program remains a major challenge.

  5. The Power of Mothers

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    MOTHERS always give so much to their children. Regardless of how rich or poor they may be, or whether they are highly educated or not, all mothers guide their children by their own words and actions. Here, six famous figures share their thoughts on the power of mothers.

  6. Interação mãe-bebê pré-termo e mudança no estado de humor: comparação do Método Mãe-Canguru com visita na Unidade de Terapia Intensiva Neonatal Interaction between mothers and pre-term infants and mood changes: a comparison between the Kangaroo Mother Method and those observed on a visit to a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Fernando Guimarães Cruvinel

    2007-12-01

    Full Text Available OBJETIVO: avaliar mudanças nos estados de humor de mães de bebês pré-termo em função do tipo de contato com o seu filho: Método Mãe-Canguru (MMC e visita ao filho na incubadora da Unidade de Terapia Intensiva Neonatal. MÉTODOS: foi aplicada a Escala Analógica de Humor em 60 mães divididas em 2 grupos: mães que participam do Método Mãe-Canguru (GC e mães que acompanharam o bebê na incubadora (GI. Os grupos foram pareados em função da idade das mães, número de gestações e tipo de parto. As mães foram avaliadas antes e depois de uma das visitas ao filho na incubadora ou sessão de MMC. RESULTADOS: as mães do GC melhoraram o humor, relatando: sentirem-se mais calmas, fortes, com idéias claras, ágeis, dinâmicas, satisfeitas, tranqüilas, perspicazes, relaxadas, atentas, competentes, alegres e amistosas. As mães do GI não apresentaram melhora no estado de humor em nenhum item, mas pioraram no item "sentindo-se desajeitada". CONCLUSÕES: o Método Mãe-Canguru mostrou-se eficaz na melhora nos estados de humor de mães de bebês pré-termo, contribuindo assim para a minimização dos efeitos negativos da internação neonatal.OBJECTIVE: to assess changes in the subjective state of mood of mothers of pre-term babies, comparing different kinds of mother-infant interaction: the Kangaroo Mother Method (KMM and those observed on a visit to a Neonatal Intensive Care Unit. METHODS: the Visual Analogue Mood Scale was used with 60 mothers divided into two groups: mothers included in the Kangaroo Program (KG and mothers with a baby on an incubator (IG. The groups were matched for the mothers' age, number of pregnancies and kind of delivery. The mothers were evaluated before and after a visit to the baby on an incubator or a KMM session. RESULTS: it was found that KG mothers were in a better mood, reporting that they felt calmer, stronger, more clear-headed, more agile, dynamic, satisfied, at ease, perceptive, relaxed, considerate

  7. Transition of maternal competency of married and single mothers in early parenthood.

    Science.gov (United States)

    Copeland, Debra Beach; Harbaugh, Bonnie Lee

    2004-01-01

    Women who perceive maternal competency in early parenthood feel comfortable with infant care. A convenience sample of 58 married, first-time mothers and 22 single, first-time mothers was surveyed at six to eight weeks after childbirth to determine the differences in maternal competence perception between married and single mothers. Findings in this pilot study reveal that single mothers significantly reported less comfort in the maternal role as compared to married mothers. Implications for practice, research, and education are discussed.

  8. Transition of Maternal Competency of Married and Single Mothers in Early Parenthood

    OpenAIRE

    Copeland, Debra Beach; Harbaugh, Bonnie Lee

    2004-01-01

    Women who perceive maternal competency in early parenthood feel comfortable with infant care. A convenience sample of 58 married, first-time mothers and 22 single, first-time mothers was surveyed at six to eight weeks after childbirth to determine the differences in maternal competence perception between married and single mothers. Findings in this pilot study reveal that single mothers significantly reported less comfort in the maternal role as compared to married mothers. Implications for p...

  9. Severe Hypoglycemia Accompanied with Thyroid Crisis

    Directory of Open Access Journals (Sweden)

    Yuki Nakatani

    2012-01-01

    Full Text Available We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.

  10. The Economic Crisis and Public Health

    Directory of Open Access Journals (Sweden)

    Victor Sidel

    2009-06-01

    Full Text Available The current global economic crisis seriously threatens the health of the public. Challenges include increases in malnutrition; homelessness and inadequate housing; unemployment; substance abuse, depression, and other mental health problems; mortality; child health problems; violence; environmental and occupational health problems; and social injustice and violation of human rights; as well as decreased availability, accessibility, and affordability of quality medical and dental care. Health professionals can respond by promoting surveillance and documentation of human needs, reassessing public health priorities, educating the public and policymakers about health problems worsened by the economic crisis, advocating for sound policies and programs to address these problems, and directly providing necessary programs and services.

  11. From Liquidity Crisis to Sovereign Debt Crisis

    Directory of Open Access Journals (Sweden)

    Simona VINEREAN

    2013-12-01

    Full Text Available This paper summarizes the results of empirical research on European Union s evolution in terms of macroeconomic stability in a period in which member countries crossed from a liquidity crisis to a sovereign debt crisis. So, the evolution of the EU member countries is analyzed as the sovereign debt crisis has worsened and has become increasingly dangerous for the stability of the European economy. The research that is the subject of this paper aims to segment the EU member countries according to the degree of macroeconomic stability. Also, this segmentation process is performed according to two indicators that are highly important for macroeconomic stability, namely the sovereign debt, expressed as public debt to GDP, and fiscal and budgetary discipline, expressed by the ratio of budget balance to GDP.

  12. Dalla crisi finanziaria alla crisi reale

    Directory of Open Access Journals (Sweden)

    CARLO D’ADDA

    2010-01-01

    Full Text Available The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow.

  13. Crisis redt ruimtelijke ordening

    NARCIS (Netherlands)

    L. Janssen-Jansen

    2011-01-01

    Wie buiten om zich heen kijkt, ziet een enorm overschot aan vastgoed variërend van leegstaande kantoren en winkels en eindeloos te koop staande woningen tot stilliggende bouwprojecten. In de vakwereld en media krijgt de fi nanciële crisis de schuld. Maar is de crisis wel de schuldige? Of juist de re

  14. Opportunity From Crisis

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Africa can benefit from the global financial crisis by developing and chartering its own economic course by Zhong Weiyun THE global economic development is like a sports competition.A loss by one competitor creates the chance for another to win.The financial crisis has seen major economies in Europe and America struggling under the burden of sluggish markets,while developing

  15. Crisis Management Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.

    2009-01-01

    In this column, Crisis Management in the Schools Interest Group members summarize recent crisis management publications. The first article summarized was a meta-analysis of the risk factors associated with Posttraumatic Stress Disorder (PTSD) among adults. The second study looked at the presence of life stressors among students who were expelled…

  16. Hypertensive crisis in children.

    Science.gov (United States)

    Chandar, Jayanthi; Zilleruelo, Gastón

    2012-05-01

    Hypertensive crisis is rare in children and is usually secondary to an underlying disease. There is strong evidence that the renin-angiotensin system plays an important role in the genesis of hypertensive crisis. An important principle in the management of children with hypertensive crisis is to determine if severe hypertension is chronic, acute, or acute-on-chronic. When it is associated with signs of end-organ damage such as encephalopathy, congestive cardiac failure or renal failure, there is an emergent need to lower blood pressures to 25-30% of the original value and then accomplish a gradual reduction in blood pressure. Precipitous drops in blood pressure can result in impairment of perfusion of vital organs. Medications commonly used to treat hypertensive crisis in children are nicardipine, labetalol and sodium nitroprusside. In this review, we discuss the pathophysiology, differential diagnosis and recent developments in management of hypertensive crisis in children.

  17. Atenção médica à gestação e ao parto de mães adolescentes Medical care for teenage mothers during pregnancy and at delivery

    Directory of Open Access Journals (Sweden)

    Heloisa Bettiol

    1992-12-01

    Full Text Available Estudou-se em Ribeirão Preto, SP, Brasil, no período de 1º de junho de 1978 a 31 de maio de 1979, 98% do universo de nascidos vivos, totalizando 8878 crianças nascidas de parto único, sendo 6750 procedentes de Ribeirão Preto. Observou-se um aumento da proporção de mães adolescentes em Ribeirão Preto (14,1% quando comparada com estudo realizado 10 anos antes (11,7%. A idade materna menor de 20 anos esteve associada com os indicadores mais desfavoráveis para a saúde perinatal, no que diz respeito à atenção médica à gestação e ao parto. Essa situação ficou mais evidente entre as mães adolescentes de classes sociais menos favorecidas, revelando que o grupo de mães adolescentes não é homogêneo, mas apresenta diferentes proporções de risco para a saúde perinatal de acordo com as frações de classe social que existem no seu interior.Ninety-eight percent of all live births occuring in the city of Ribeirão Preto, state of São Paulo (Brazil, from June 1, 1978 to May 30, 1979 were studied, for a total of 8,878 single-delivery infants, 6,750 of whom were from this town. An increase in the proportion of teenage mothers in Ribeirão Preto (14.1% was observed in relation to a study carried out ten years before (11.7%. Maternal age of less than 20 years was associated with more unfavorable perinatal health indicators with respect to medical care and delivery. This situation was more evident among teenage mothers from underprivileged social classes, showing that the group of teenage mothers is not homogeneous but presents different risk rates for perinatal health according to the social strata of which the group is composed.

  18. Cuidados maternos a crianças de baixo peso ao nascer Cuidados maternos a niños con bajo peso al nacer Mothers' care to the low birth weight infant

    Directory of Open Access Journals (Sweden)

    Débora Falleiros de Mello

    2002-09-01

    Full Text Available Este estudo é descritivo exploratório e teve por objetivo caracterizar os relatos maternos sobre o cuidado à saúde de crianças de baixo peso ao nascer no primeiro e segundo ano de vida, através de entrevistas domiciliares com um grupo de onze mães de crianças procedentes de Ribeirão Preto - SR De modo geral, as mães apontam dificuldades no cuidado de amamentar o bebê, alimentação e uso de medicação, referem preocupações com as intercorrências, reinternações e desenvolvimento psicomotor, implicando na necessidade de suporte profissional para avaliar e acompanhar o processo de crescimento e desenvolvimento infantil no cotidiano das famílias.Este estudio es descriptivo exploratório y tuvo por objetivo caracterizar los relatos maternos sobre el cuidado a la salud de niños con bajo peso al nacer en el primero y segundo ano de vida, a través de entrevistas domiciliares con un grupo de once madres de niños procedentes de Ribeirão Preto - SR De modo general, las madres apuntan dificultades en el cuidado relacionados a la lactancia del bebé, alimentación y uso de medicación. Refieren preocupaciones con las intercurrencias, reinternaciones y desarrollo psicomotor, implicando en la necesidad de soporte profesional para evaluar y acompañar el proceso de crecimiento y desarrollo infantil en el cotidiano de las familias.This is an exploratory and descriptive study which aimed at characterizing mothers' accounts on the care given to the health of children with low weight at birth during their first and second years of life by means of home interviews with a group of eleven mothers of children from Ribeirão Preto - SR The mothers pointed to difficulties with breastfeeding, the babies' diet and medication use. They also referred to concerns about intercurrences, re-hospitalizations and psychomotor development, which results in the need for professional support in order to evaluate and follow the growth and development process of

  19. Proxemic communication between HIV-infected mother-child pairs.

    Science.gov (United States)

    Rebouças, Cristiana; Souza Paiva, Simone de; Costa, Enia; Vieira Lima, Ivana Cristina; Freitag Pagliuca, Lorita Marlena; Gimeniz Galvão, Marli Teresinha

    Proxemic communication (behaviours and relations of human interaction) offered by the mother in an HIV-infected mother-child pair during infancy was analysed to determine which proxemic factors promote the exchange of affection. This study, conducted in an experimental laboratory in 2007, included mother-child pairs in which the mother was HIV-positive and the children, under 6 months of age, were born exposed to the virus. Video recordings of the mother-child interaction were analysed according to proxemic factors. Of the 364 interactions recorded for analysis of proxemic communication between the mother-child pair, the most significant proxemic factors were axis, contact behavior, visual code, and tone of voice. The mothers developed communicative strategies such as closer proximity, touch, vocalisation, and smiling to promote the exchange of affection when engaging in maternal care.

  20. Mum to mum : an evaluation of a community-based health promotion programme for first-time mothers in The Netherlands

    NARCIS (Netherlands)

    Hanrahan-Cahuzak, M.H.

    2002-01-01

    Background This study evaluated the Dutch Mothers Inform Mothers (MIM) programme. In that programme a visiting mother meets with a first-time mother in her home on a monthly basis to discuss the caring and rearing of her infant. The first-time mothers we

  1. Evidence Based Assessment of Public Health Planning: A Case Study of the 2014 Crisis in Ukraine

    Science.gov (United States)

    2015-06-12

    Assessment of Public Health Planning: A Case Study of the 2014 Crisis in Ukraine 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT...armed conflict. As a result of the crisis , health care infrastructure was destroyed, health care workers fled, migrating patterns of vulnerable

  2. Crisis Communication and Management: Surviving a Public Relations Crisis

    Science.gov (United States)

    Eramo, Eric M.

    2009-01-01

    Crisis management, or crisis communication, is never a good thing for a business to experience. It is, however, a public relations' professional moment to shine and put their honed skills to good use. A good crisis management plan is not only action during the crisis but preparation and reflection. Hiring a PR firm that deals with crisis…

  3. Husserl's Crisis as a crisis of psychology.

    Science.gov (United States)

    Feest, Uljana

    2012-06-01

    This paper places Husserl's mature work, The Crisis of the European Sciences, in the context of his engagement with--and critique of--experimental psychology at the time. I begin by showing (a) that Husserl accorded psychology a crucial role in his philosophy, i.e., that of providing a scientific analysis of subjectivity, and (b) that he viewed contemporary psychology--due to its naturalism--as having failed to pursue this goal in the appropriate manner. I then provide an analysis of Husserl's views about naturalism and scientific philosophy. Some central themes of the Crisis are traced back to Husserl's earlier work and to his relationship with his teacher, Franz Brentano, with whom he disagreed about the status of "inner perception" as the proper scientific method for a phenomenological analysis. The paper then shows that Husserl was well aware of at least one publication about the crisis of psychology (Bühler's 1927 book), and it teases out some aspects of the complicated relationship between Husserl and members of the Würzburg School of thought psychology: The latter had drawn on Husserl's writings, but Husserl felt that they had misunderstood his central thesis. I conclude by placing Husserl's work in the wider context of scientific, cultural, and political crisis-discourses at the time.

  4. Dalla crisi finanziaria alla crisi reale

    Directory of Open Access Journals (Sweden)

    Carlo D'Adda

    2010-03-01

    Full Text Available  The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow. JEL Code: E44, G01, G10Keywords: Cultura economica, Crisi finanziaria, Regole  

  5. The other mother: a narrative analysis of the postpartum experiences of nonbirth lesbian mothers.

    Science.gov (United States)

    McKelvey, Michele M

    2014-01-01

    The purpose of this study was to develop a metastory of nonbiological lesbian mothers' postpartum experiences utilizing Riessman's structural approach to thematic analysis. Ten nonbirth lesbian mothers were interviewed. Each shared a unique story of her first year of motherhood. Themes were individually analyzed within each story. The metastory of the postpartum experiences of nonbirth lesbian mothers revealed 6 themes including the following: At the mercy of health care providers, Nursing is the major difference between us, Defined by who I am not, Fighting for every piece of motherhood: The world can take them away, What's in a name?, and Epilogue: The new normal.

  6. Nutritional Beliefs and Food Practices of Mexican-American Mothers.

    Science.gov (United States)

    Bowden, Shirley

    In the locale of Hanford, California, this 1968 nutritional study was made to explore and evaluate the nutritional beliefs and food practices of Mexican American mothers among low-income agricultural working families. Some 35 mothers whose children attended the Hanford Child Day-Care Center were interviewed at home to determine family…

  7. Do Mothers Want Professional Carers to Love Their Babies?

    Science.gov (United States)

    Page, Jools

    2011-01-01

    This article reports an aspect of a life historical study which investigated the part that "love" played in mothers' decision-making about returning to work and placing their babies in day care. The article begins with a brief discussion of the context, including 21st-century policies in England to encourage mothers to return to the workforce…

  8. "I'm so Much More Myself Now, Coming Back to Work"--Working Class Mothers, Paid Work and Childcare

    Science.gov (United States)

    Braun, Annette; Vincent, Carol; Ball, Stephen J.

    2008-01-01

    This paper explores the ways in which working class mothers negotiate mothering and paid work. Drawing on interviews with 70 families with pre-school children, we examine how caring and working responsibilities are conceptualised and presented in mothers' narratives. Mothers showed a high degree of commitment to paid work and, in contrast to…

  9. Egypt & Financial Crisis

    OpenAIRE

    2011-01-01

    Financial crisis that occurred in August 2008 was unforeseen, sudden, sharp, and had a great impact on the global financial market. Egypt is one of the countries was affected by this financial crisis as a market economy country, and WTO member. in this paper I will try to study the implication of such crisis on the Egyptian economy in the fields of tourism, Suez canal, oil field, and GDP, not only the economy factor were effected, but also the Egyptian market represented in its compon...

  10. Trust vs. Crisis

    Directory of Open Access Journals (Sweden)

    Kirsten Mogensen

    2014-06-01

    Full Text Available The three social phenomena -- norms, trust, and crisis -- are in this paper combined into one model that illustrates their function and relationship. Crisis is seen as a reaction to serious violations of expectations that leave people disoriented, insecure about situational norms, and unable to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968, Alf Ross Directives and Norms (1967, and Arthur G. Neal National Trauma & Collective Memory (1998.

  11. Crisis intervention for nurses.

    Science.gov (United States)

    Chase, Emily

    2013-06-01

    Cancer diagnoses and treatments can be crisis-causing events that overwhelm the usual coping abilities of patients and their families. Oncology nurses constantly are observing and attending to patients' diverse needs, ranging from biomedical to emotional, social, and psychological. Nurses have the chance to be first responders in times of patient crises, as they are in the position to recognize the crisis, respond effectively, and transform the crisis into a pivotal learning experience. This article discusses a way to think about patient and family crises that empowers nurses to respond in a manner appropriate to the cultural context and respectful of the individual space of the patient.

  12. Growth in a Crisis

    Institute of Scientific and Technical Information of China (English)

    XIONG HOU

    2010-01-01

    @@ In the first half of 2010, the Greek sovereign debt crisis hit Europe severely,casting a shadow over the region's slow economic recovery. Although the crisis has been gradually curbed across Europe, thanks largely to major financial stability measures by the EU and its member states, it still poses grave challenges to the long-term economic growth of Europe. Faced with serious structural problems brought to light by the crisis, Europe must carry out substantial measures to regain vitality and ensure lasting growth.

  13. Mothers' Perceptions of Their NICU Experience 1 and 7 Months after Discharge.

    Science.gov (United States)

    Meck, Nancy E.; And Others

    1995-01-01

    Interviews with 36 mothers of premature infants concerning their perceptions of their infants' care 1 and 7 months after discharge from the neonatal intensive care unit (NICU) found that mothers received information on their baby's health and routine care but did not receive information about developmental issues or such topics as transfer of…

  14. THE IMPORTANCE OF PATERNAL INVOLVEMENT DURING PRENATAL CARE: PERCEPTION OF THE MOTHER AND FATHER IN THE CITY OF CACERES – MT.

    Directory of Open Access Journals (Sweden)

    Taíse Neves Ferreira

    2014-05-01

    Full Text Available In society, pregnancy has always been treated as a uniquely female experience, however, it is observed that the concepts and functions predetermined for men and women in the family are in full transformation. Describe the importance of parental involvement in monitoring prenatal vision of father and pregnant. This is a descriptive and quantitative study. The research had as reference Strategies Family Health Cáceres - MT. Participants were 30 pregnant women and their companions. When asked whether women talked to his companions about the importance of paternal participation in prenatal care, 67% of women answered yes and 33% did not talk. It is important to note that prenatal quality is achieved through pipelines necessary for pregnant women and hospitable. Geared this progress is the father figure who demonstrates an interest in participating, however, the work prevent them from contributing effectively.

  15. Management of myasthenic crisis in a child.

    Science.gov (United States)

    Rybojad, Beata; Lesiuk, Witold; Fijałkowska, Anna; Rybojad, Paweł; Sawicki, Marek; Lesiuk, Leszek

    2013-01-01

    Myasthenia gravis is an autoimmune disorder of peripheral nervous system, leading to fluctuating muscle weakness. It is caused by circulating antibodies that block acetylcholine nicotinic postsynaptic receptors at the postsynaptic neuromuscular junction. Myasthenic crisis is a life-threatening complication, which is defined as weakness from acquired myasthenia gravis. In this paper we described a 15-year-old boy who was admitted to the Paediatric Intensive Care Unit due to myasthenic crisis. He had suffered not only from myasthenia gravis but also hypothyroidism, cerebral palsy and epilepsy. The patient required mechanical ventilation and was successfully treated with both plasmapheresis and intravenous immunoglobulins. He recovered from the crisis and then thymectomy was performed. Perioperative period and anaesthesia passed uncomplicated. Discharged home from the hospital after 2.5 month-treatment, for the last 4 years, he has only come on scheduled outpatient medical appointments. This case reveals that myasthenic crisis, albeit rare, may occur in male adolescents. In such cases multidisciplinary care followed by surgery becomes a procedure of choice. Concomitant medical problems, if well controlled, do not affect the results of outcome of the underlying disease.

  16. Policing the Global Crisis

    Directory of Open Access Journals (Sweden)

    William I. Robinson

    2015-08-01

    Full Text Available As part of my research for a book manuscript on the crisis of global capitalism I recently finished writing (Robinson forthcoming, I decided to re-read the classic 1978 study conducted by the noted socialist and cultural theorist Stuart Hall and several of his colleagues, Policing the Crisis. The authors show in that book how the restructuring of capitalism as a response to the crisis of the 1970s - which was the last major crisis of world capitalism until the current one hit in 2008 -led in the United Kingdom and elsewhere to an "exceptional state," by which they meant a situation in which there was an ongoing breakdown of consensual mechanisms of social control and a growing authoritarianism.

  17. Averting a Future Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The world has left the worst of the financial crisis behind, but memories of the meltdown have barely faded. But what made the world’s economy so vulnerable, and what kinds of lessons can we draw from it?

  18. Migrants caught in crisis

    Directory of Open Access Journals (Sweden)

    Brian Kelly

    2012-06-01

    Full Text Available A number of new initiatives point to ways in which the internationalcommunity – particularly governments – could help reduce the vulnerabilities of migrant workers during conflict and crisis situations.

  19. Crisis and Regional Integration

    DEFF Research Database (Denmark)

    Dosenrode, Søren

    ‘Crisis’ has been a word frequently heard of over the last couple of years, both in a global meaning (e.g. the environmental crisis, the financial crisis) and also in a more regional or national meaning, many times related to Africa (Horn of Africa, Ivory Coast, DR Congo, Zimbabwe, Ivory Coast......, Tunisia, Egypt …. ), where the crisis referred to could be humanitarian, environmental, economic, political … Europe, too, has also according to mass media, been a victim of a crisis, the financial one. Could ‘crisis’ be a beginning of enhanced regional integration? This paper will try to look...... at the processes of regional integration in relation to ‘crisis’ in Africa and Europe. First, this paper will look at the concept of ‘crisis’, before it moves on to discuss ‘regional integration’ and the correlation between the two, emphasizing the approaches of neo-functionalism and federal theory...

  20. Modelli formali della crisi

    Directory of Open Access Journals (Sweden)

    Giancarlo Gandolfo

    2010-03-01

    Full Text Available In this paper a distinction is made between the immediate technical-financial causes that unleashed the crisis in the United States, and its macroeconomic causes, which also explain its international transmission. Two formal paradigmatic models are considered. The first is Li’s formula on default correlation (“The Formula that Killed Wall Street”, whose misuse gave rise to the crisis. The second is the international financial multiplier set forth by Paul Krugman. After examining these two models, the paper concludes that, contrary to widespread opinion, the crisis was indeed foreseen by some economists, who, coming from the non-mainstream side of the profession, were largely ignored.   JEL Codes: G01, F3, E44Keywords: Cultura economica, Crisi finanziaria, Regole

  1. The Ontario Mother and Infant Study (TOMIS III: A multi-site cohort study of the impact of delivery method on health, service use, and costs of care in the first postpartum year

    Directory of Open Access Journals (Sweden)

    Landy Christine

    2009-04-01

    Full Text Available Abstract Background The caesarean section rate continues to rise globally. A caesarean section is inarguably the preferred method of delivery when there is good evidence that a vaginal delivery may unduly risk the health of a woman or her infant. Any decisions about delivery method in the absence of clear medical indication should be based on knowledge of outcomes associated with different childbirth methods. However, there is lack of sold evidence of the short-term and long-term risks and benefits of a planned caesarean delivery compared to a planned vaginal delivery. It also is important to consider the economic aspects of caesarean sections, but very little attention has been given to health care system costs that take into account services used by women for themselves and their infants following hospital discharge. Methods and design The Ontario Mother and Infant Study III is a prospective cohort study to examine relationships between method of delivery and maternal and infant health, service utilization, and cost of care at three time points during the year following postpartum hospital discharge. Over 2500 women were recruited from 11 hospitals across the province of Ontario, Canada, with data collection occurring between April 2006 and October 2008. Participants completed a self-report questionnaire in hospital and structured telephone interviews at 6 weeks, 6 months, and 12 months after discharge. Data will be analyzed using generalized estimating equation, a special generalized linear models technique. A qualitative descriptive component supplements the survey approach, with the goal of assisting in interpretation of data and providing explanations for trends in the findings. Discussion The findings can be incorporated into patient counselling and discussions about the advantages and disadvantages of different delivery methods, potentially leading to changes in preferences and practices. In addition, the findings will be useful to

  2. Group Services for Unmarried Mothers: An Interdisciplinary Approach

    Science.gov (United States)

    Danforth, Joyce; And Others

    1971-01-01

    Reports on a group program in which a public health nurse and two social workers have been working together to help unmarried mothers prepare for delivery and plan for the care of their babies. (Author/AJ)

  3. Método Mãe Canguru: aplicação no Brasil, evidências científicas e impacto sobre o aleitamento materno Kangaroo Mother Care: scientific evidences and impact on breastfeeding

    Directory of Open Access Journals (Sweden)

    Sonia Isoyama Venancio

    2004-11-01

    Full Text Available OBJETIVO: Descrever o histórico do Método Mãe Canguru e apresentar evidências científicas sobre os benefícios dessa prática para os bebês de baixo peso no tocante a morbimortalidade, desenvolvimento psicoafetivo, neurossensorial e amamentação. FONTES DE DADOS: Foram consultadas publicações sobre o Método Mãe Canguru abrangendo o período de 1983 até 2004, identificadas nas bases de dados MEDLINE e Lilacs, bem como livros, teses e publicações técnicas do Ministério da Saúde. SÍNTESE DOS DADOS: Desde sua primeira descrição, o Método Mãe Canguru tem sido amplamente estudado. A análise de experimentos randomizados mostrou que o mesmo consiste em fator de proteção para a amamentação exclusiva no momento da alta hospitalar (RR 0,41; IC95% 0,25-0,68. O método também está associado a redução do risco de infecção hospitalar com 41 semanas de idade gestacional corrigida (RR 0,49; IC95% 0,25-0,93; redução de enfermidades graves (RR 0,30; IC95% 0,14-0,67; redução de infecções do trato respiratório inferior aos 6 meses (RR 0,37; IC95% 0,15-0,89; e maior ganho ponderal diário (diferença de médias de 3,6 g/dia; IC95% 0,8-6,4. O desenvolvimento psicomotor foi semelhante entre bebês submetidos ao Método Mãe Canguru e controles aos 12 meses, e não houve evidências de impacto sobre a mortalidade infantil. CONCLUSÃO: Há evidências de impacto positivo do Método Mãe Canguru sobre a prática da amamentação. Embora o método pareça reduzir a morbidade infantil, as evidências são ainda insuficientes para que o mesmo seja recomendado rotineiramente. Por outro lado, não existem relatos sobre efeitos deletérios da aplicação do método. Há a necessidade de se realizar estudos sobre a efetividade, aplicabilidade e aceitabilidade do Método Mãe Canguru em nosso meio.OBJECTIVE: To describe the history of the Kangaroo Mother Care and present scientific evidence about benefits of this practice on morbidity and

  4. Crisis-Driven Cooperation

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Not hit as badly as the West, East Asian and Southeast Asian countries grapple with the financial crisis from a long-term perspective Although Thailand postponed at the last minute the annual summits of East Asian and Southeast Asian leaders scheduled on April 11-12, regional cooperation will continue to forge ahead with full vigor, even more so in the context of the global financial crisis, said Chinese international studies experts.

  5. [Financial crisis and mental health].

    Science.gov (United States)

    Giotakos, O

    2010-01-01

    Most studies investigating the effects of the economic crisis on the quality of life indicate a correlation between unemployment or other economic indexes and the general levels of death rates, depression, and suicide tendencies. The most common effects of an economic crisis are unemployment, spending power cuts, general insecurity and public spending retrenchment, including health related budget cuts. Under conditions of economic crisis, the poor represent a high risk group since they are the first ones to be put at risk. At the same time, due to their pre-existing functionality reduction, individuals already experiencing psychiatric diseases also represent a high risk group, thus creating a vice circle where poverty nurtures psychiatric disorders and vice-versa. For every country in the midst of a recession, protecting high risk target groups is the first priority. In these cases, research showcases that social security networks' reinforcement represents the first strategic priority. Other factors, for instance personality features related to increased vulnerability to psychosocial threat -such as low tolerance to frustration or low self esteem- also play an important role. At the organizational level, one has to research practices and policies that employers use to respond to changing conditions. An economic recession is a chance to revamp essential services toward weaker populations that need to be protected. This translates into a buttressing of the social welfare system while promoting timely interventions. Amongst others, the registration of high risk population groups, the rehabilitation and social inclusion of unemployed individuals and individuals with psychiatric problems, the training of first responders and primary care physicians, the tracing and curing of depression and other usual disorders, as well as an improved access to the psychiatric-health provision system.

  6. Quale crisi, quale sociologia?

    Directory of Open Access Journals (Sweden)

    Michel Wieviorka

    2011-02-01

    Full Text Available Nel 1929 gli studi sociologici che hanno preso in esame la crisi in atto nel momento stesso in cui questa si dispiegava sono stati molto limitati e, fino ad oggi, questa tendenza sembra confermarsi anche con riferimento alla crisi attuale. Per contro si registra una notevole diffusione di contributi di analisi del fenomeno da parte degli economisti che rivelano, in particolare, due tipi di ragionamenti: uno che limita l’analisi al breve periodo, l’altro che invece legge la crisi inquadrandola nei mutamenti dell’ultimo trentennio. La sociologia non è in crisi ma è necessario che rifletta nuovamente sugli strumenti teorici di cui dispone per analizzare la crisi contemporanea. Lo spazio dell’analisi sociologica è quello in cui si coniugano le letture dell’avvenimento attuale e le analisi di lungo periodo, lo spazio in cui può trovare adeguata considerazione la soggettività degli individui. È in questo senso che la sociologia può dare il proprio contributo, anche attraverso la collaborazione con le scienze «dure», nel tracciare degli itinerari di uscita dalla crisi.

  7. CRISIS COMMUNICATION IN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    Canan MADRAN

    2015-07-01

    Full Text Available Abstract Institutions should implement effective crisis communication strategies to manage their reputations in crisis situations. Thus, the negative perceptions that may occur because of crisis can be reduced and eliminated by continuously informing stakeholders. Therefore, various researches are needed in the area of crisis communication management. The aim of the study is to determine the types of crises that often occur in universities and evaluate the crisis communication efforts in higher education institutions. Crises and crisis communication efforts were evaluated within the framework of media reflections in this study. Content analysis was applied in the classification of crises and responses provided for crises. As a result, the types of crises in Turkish universities were determined as campus safety, actions, protests, loss of confidential information, loss of financial opportunities, loss of key managers and personnel, staff problems, increase of accidents, slander and gossip, unnecessary explanations, rumors, damage to organization and employee reputation, terrorism, workplace violence, corruption, fire and epidemic. It is seen that universities don’t make any communicational effort regarding campus safety, staff problems, increase of accidents, corruption or fire.

  8. Crisis management strategies.

    Science.gov (United States)

    Koster, Maria C; Politis-Norton, Helen

    2004-01-01

    This paper discusses the different facets of crisis as experienced within the pharmaceutical industry but which are also prevalent throughout other industries. It highlights the importance of early identification and management of crises and issues, which in return are strongly intertwined with a fundamental positive internal corporate climate. A corporate philosophy should always embrace crisis management with the attitude of 'when' and not 'if'; therefore, a company should act today and not tomorrow once a crisis is on its doorstep. Preparation is of utmost importance and there are several items that can be addressed even before a crisis has arisen. Further, this paper also provides guidance on how to deal with the media, what to do and what not to do, and how to appoint the appropriate spokesperson. In this era of fast exchange of information, crisis, which previously may have stayed behind corporate doors, may not do so any longer. Image is very important and should therefore not be risked. Crisis and issue management should therefore be integrated in every company's philosophy and standard operating procedures.

  9. [A proposal to combine Roy's conceptual framework with crisis theory].

    Science.gov (United States)

    Luis, M V

    1990-04-01

    It is reported the crisis theory framework's and is proposed its linkage with the Callista Roy conceptual Model. The aim is to provide the nurse with an instrumental and theoretical framework of the knowledge of the person in crisis intervention. In this proposition is still suggested, a guide to nursing care. It is derived of both theories and exemplified by the author trough practice application.

  10. Mother-infant attachment in adoptive families.

    Science.gov (United States)

    Singer, L M; Brodzinsky, D M; Ramsay, D; Steir, M; Waters, E

    1985-12-01

    Data from 2 separate samples using the Strange Situation paradigm were combined to assess the quality of attachment relationships in adoptive and nonadoptive mother-infant pairs. Infants were between 13 and 18 months at the time of observation. Results indicated no differences in mother-infant attachment between nonadopted and intraracial adopted subjects or between intraracial and interracial adopted subjects. Interracial adoptive mother-infant pairs did show a higher incidence of insecure attachment in comparison to nonadoptive pairs. Mothers of interracial adopted infants also were less comfortable having others care for their babies and perceived less emotional support from extended family and friends for their decision to adopt a child prior to the actual adoption than did other mothers. No relation was found, however, between quality of mother-infant attachment and either perceived social support, infant developmental quotient, infant temperament, number of foster homes experienced by the infant, or infant's age at the time of adoption placement. It was suggested that the higher incidence of psychological problems found among adoptees in middle childhood and adolescence cannot be explained in terms of insecure attachment relationships during the infancy years.

  11. Decision-Making Influence Strategies of Caregiving Daughters and Their Elderly Mothers.

    Science.gov (United States)

    Pratt, Clara C.; And Others

    1993-01-01

    Identified influence strategies used by elderly care-receiving mothers and their caregiving daughters, including positive strategies, overt and covert negative strategies, and option seeking. Findings from 64 mother-daughter pairs revealed that mother's health, level of dependency, and residence were not related to most strategy use. Negative…

  12. Predictors of Stability and Change in Private Safety Nets of Unmarried Mothers.

    Science.gov (United States)

    Radey, Melissa; Brewster, Karin

    2013-01-01

    Although the importance of social supports for single mothers in times of crisis is widely recognized, little is known about the stability of such "private safety nets" over time, as children age and maternal and household characteristics change. This study uses multilevel models and 4 waves of data from the Fragile Families and Child Wellbeing Study to describe trajectories of social support perceptions for 3,065 unmarried mothers. Results suggest that, following a birth, most unmarried mothers perceive the availability of support, but these support perceptions disintegrated somewhat in subsequent years. Mothers who appeared to have the greatest need for support-those without stable employment or a stable partner-experienced more rapid deterioration of their perceived safety nets than more advantaged mothers. Future research should examine network composition and conditions for support provision among the most vulnerable single mothers and consider how safety net stability influences maternal and child health and well-being.

  13. RESTRUCTURING COMPANIES UNDER CRISIS

    Directory of Open Access Journals (Sweden)

    Hezi Aviram SHAYB

    2016-12-01

    Full Text Available Nobody is planning to fail, but many companies are failing because of lack of planning. Real business experience showed during the years that crisis can be prevented, avoided or limited. If detected in time, the risks associated with the crisis can be mitigated and the effects can be diminished, with the condition that the actions required are done fast, in a sharp and accurate manner. When it comes, a crisis brings an intense level of pressure and under these conditions there is no time or room for mistakes. Delays, losing focus and lack of planning will bring a company one step away from failure. The right way to deal with crisis, if required measures are not done in time, is to minimize the losses and reposition in the best way possible. Analysing the success stories of some of the biggest and strongest companies in the world, led to an important conclusion: the majority of these companies were in the situation to face huge crises which threatened their ability to survive in certain moments, on their way to success. With the right planning and by setting a proper organisational structure, the negative aspects of the crisis can be turned into benefits and opportunities for the company. The most critical challenge for management is to assess the level of exposure to risk of the company and identify the key points to focus on in order to overcome the crisis and create value. In order to set up a strong plan in dealing with crisis, a business organisation needs reliable, efficient and effective tools and this is what this article is all about.

  14. Filhas que cuidam de pais/mães com provável/possível Doença de Alzheimer Daughters who take care of fathers/mothers with probable/possible Alzheimer's Disease

    Directory of Open Access Journals (Sweden)

    Deusivânia Vieira da Silva Falcão

    2008-12-01

    Full Text Available Este estudo investigou 32 filhas cuidadoras de pais/mães com provável/possível doença de Alzheimer (DA. Objetivou avaliar as reações iniciais delas diante do diagnóstico; as concepções sobre as características pessoais dos portadores antes e após a DA; os principais motivos que levaram a cuidar de seus genitores e quais os sentimentos diante do papel exercido. Elaborou-se uma entrevista que foi gravada, transcrita e analisada segundo a técnica de Bardin (1977/2000. Constatou-se que elas apresentaram uma reação inicial desfavorável diante da doença. Os motivos mais apontados para exercerem o papel, foram os sentimentos de obrigação filial e gratidão. No geral, elas não se sentiam bem executando essa tarefa. Entrementes, benefícios foram apontados por algumas, tais como crescimento pessoal. Conclui-se que a atividade de cuidar é heterogênea, multifacetada e as avaliações subjetivas das entrevistadas eram influenciadas por crenças, regras familiares, relacionamento com o idoso e percepções acerca da velhice e do cuidado.This study investigated 32 daughters who take care of fathers/mothers with probable/possible Alzheimer's Disease (AD. It focused on evaluating daughters initial reactions facing the diagnosis; their conceptions concerning the personal characteristics of the diseased before and after AD; the main reasons that brought them to be the caregivers, nurses, of their parents and what are the feelings towards the activity role. An interview was elaborated, then recorded, transcribed and analyzed according to Bardin's technique (1977/2000. It was verified that they presented an unfavorable first reaction facing the disease. The most appointed motivations were the feelings of obligation and gratitude. In general, they did not feel at easy executing this duty. Nevertheless benefits as self-growth were appointed by some. It is concluded that the activity of care giving is heterogenic, multiply faced and the subjective

  15. MOTHERS PRACTICING PROSTITUTION AND CHILDREN'S RIGHTS

    OpenAIRE

    Ana-Maria MANDIUC

    2014-01-01

    A large number of women who practice prostitution get pregnant and have the child. When a mother continues practicing prostitution, while at the same time trying to fulfill parental responsibilities, the child’s rights could end up being violated because of the characteristics of the two roles the woman adopts. The present paper presents the case study of a child of schooling age and whose mother practiced prostitution. The child was put in foster care after the mother’s death and the case st...

  16. Knowledge, Attitude and Practices of Mothers Regarding Infant Feeding Practices

    Directory of Open Access Journals (Sweden)

    Sushma Sriram

    2013-04-01

    Full Text Available Background: Present study was conducted to assess the knowledge, attitude and practices of mothers towards infant feeding practices. Materials and methods: The mothers of infants, coming to a tertiary care centre, Ahmedabad, on outpatient basis were interviewed using a pre-designed questionnaire. Total 150 mothers were interviewed. Results: Out of the total, 18% mothers were illiterate.58.67% mothers have been counselled by doctor about feeding. Regarding breast feeding, 96% knew about exclusive breast feeding up to 6months. 90.67% think that colostrum is good for baby.34.67% mothers have given pre-lacteal feeds, tea and jaggery was most common.84.67% mothers knew that they should take extra food during lactation. Father (36% most commonly help in feeding while 31.33% don’t get any domestic help.78.67% women consult doctor for feeding problems. Most common reason of stopping breast feeding was inadequate milk secretion(54.67%.18% think that feeding should be stopped during illness. 75.33% women were completely satisfied with their feeding practices. Conclusion-Mothers had good knowledge about infant feeding practices. Inspite of good knowledge there are lacunae in the practices of mothers due to social and economic reasons. Level of education has positive impact on infant feeding practices. Counselling by doctors had a better impact on the attitude and practices of mothers. [Natl J Med Res 2013; 3(2.000: 147-150

  17. Atenção humanizada ao recém-nascido de baixo peso - Método Canguru: a proposta brasileira Humanization in low weight newborn intensive care - Kangaroo Mother Care: the Brazilian propose

    Directory of Open Access Journals (Sweden)

    Zeni Carvalho Lamy

    2005-09-01

    Full Text Available Este estudo contextualiza a experiência brasileira na Atenção Humanizada ao Recém-Nascido de Baixo Peso-Método Canguru, resgatando aspectos ligados à origem do Método Canguru na Colômbia e sua utilização em diferentes países. Para sistematizar a experiência partiu-se da leitura de fontes diversas que incluíram artigos, dissertações, teses e textos oficiais produzidos pelo Ministério da Saúde. A análise do processo de implantação da Atenção Humanizada ao Recém-Nascido de Baixo Peso - Método Canguru pelo Ministério da Saúde nos permitiu mapear uma experiência distinta da encontrada em países que adotaram ou discutem o Método Canguru como estratégia de substituição de tecnologia. Por outro lado, a experiência brasileira também é mais ampla do que aquela encontrada nos países desenvolvidos e se configura como estratégia de qualificação do cuidado neonatal.This work describes the start of Kangaroo Care utilization in Colombia, his spread in other countries and how it is applied in Brazil, contextualizing the Brazilian experience in the Humanized Care of Low Weight Newborn - Kangaroo Care (AHRNPB-MC. Our primary source to systemize the experience was the analysis of documents, including official papers produced by the Brazilian health department. The study provided a reflection on the AHRNPB-MC and his use as tool for improvement the Brazilian neonatal care.

  18. The Euro crisis. Causes and Symptoms

    Directory of Open Access Journals (Sweden)

    Christoph S. Weber

    2015-06-01

    Full Text Available The Euro crisis is mainly a consequence of the international financial crisis of 2008. Thereby, the term Euro crisis is misleading as there is no currency crisis. First, the article shows some of the birth defects of the Euro. Second, it shows that the increase in public debt was caused by rescue measures for banks and anti-cyclical fiscal policy. Third, we argue that the Euro crisis is not just one crisis (a sovereign debt crisis but it is a combination of several macroeconomic crises including a growth crisis, a labour market crisis, a public debt crisis, and a current account crisis.

  19. Organizational crisis management - crisis communication when IT fails

    OpenAIRE

    Glad, Jutta

    2009-01-01

    HELSINKI SCHOOL OF ECONOMICS ABSTRACT International Business, Master’s Thesis Jutta Glad 08.05.2009 ORGANIZATIONAL CRISIS MANAGEMENT – CRISIS COMMUNICATION WHEN INFORMATION TECHNOLOGY FAILS Objectives of the thesis The objective of this study is to find out what different factors an organization should consider when responding to an organizational crisis that has been caused by an information technology failure. The study also tries to find out whether crisis communicat...

  20. Mothers’ Part-time Employment: Associations with Mother and Family Well-being

    OpenAIRE

    Buehler, Cheryl; O’Brien, Marion

    2011-01-01

    The associations between mothers’ part-time employment and mother well-being, parenting, and family functioning were examined using seven waves of the NICHD Study of Early Child Care and Youth Development data (N = 1,364), infancy through middle childhood. Concurrent comparisons were made between families in which mothers were employed part time and both those in which mothers were not employed and those in which mothers were employed full time. Using multivariate analysis of covariance with ...

  1. Re-Envisioning Crisis

    DEFF Research Database (Denmark)

    Snaith, Holly; Rosamond, Ben

    2015-01-01

    of EU integration – namely the 1970s oil shocks and the more recent global financial crisis – in order to determine the extent to which these events have been contemporarily defined as providing opportunities to act, or simply challenges to the existing order. The paper provides an analysis of the way...... in which EU actors have mobilised the idea of ‘crisis’ in order to (a) exert control over endogenous and exogenous destabilising forces, (b) (re)define the EU as an object of both political engagement and academic study, and finally (c) make the case for further expansion and integration (particularly....... The comparative nature of the findings helps to contextualise current discourses around the global financial crisis, in order to evaluate the EU’s previous efforts at global repositioning, and the significance of crisis discourse to these efforts....

  2. Aspects of Global Crisis

    Directory of Open Access Journals (Sweden)

    Anca Turtureanu

    2011-06-01

    Full Text Available The author aims to explore Germany, known as one of the most developed Europeaneconomy, based mainly on exports, which until 2010 was the number-one leading exporter. Also,Poland, who managed to surprise us by its economic growth of 1.2% during the most recent globaleconomic crisis, and Romania, which manages to surprise us every day in comparison with othercountries such as France or Italy. The global economic crisis is one of the most important events inrecent years has brought about tremendous losses and increases levels of unemployment well abovethe expectations of many analysts. He started as a tornado in the U.S. savings and was felt all over theworld. It is practically a state of disorder in the world economy, in which countries economy suddenlygoing to lower its labor, usually fall brought the financial crisis.

  3. Modelli formali della crisi

    Directory of Open Access Journals (Sweden)

    GIANCARLO GANDOLFO

    2010-01-01

    Full Text Available In this paper a distinction is made between the immediate technical-financial causes that unleashed the crisis in the United States, and its macroeconomic causes, which also explain its international transmission. Two formal paradigmatic models are considered. The first is Li’s formula on default correlation (“The Formula that Killed Wall Streetâ€, whose misuse gave rise to the crisis. The second is the international financial multiplier set forth by Paul Krugman. After examining these two models, the paper concludes that, contrary to widespread opinion, the crisis was indeed foreseen by some economists, who, coming from the non-mainstream side of the profession, were largely ignored.

  4. Reintegration of young mothers

    Directory of Open Access Journals (Sweden)

    Miranda Worthen

    2012-08-01

    Full Text Available Young mothers seeking reintegration after periods of time spent livingwith fighting forces and armed groups face exclusion and stigmarather than the support they and their children badly need.

  5. Financial crisis: theory and practice

    OpenAIRE

    Ramírez Sarrió, Dídac; Ceballos Hornero, David; Rodriguez, Martha; Cortez, Klender; Cantarero Prieto, David; CASTILLO, Jorge; Fuenzalida, Darcy; Garcia, Heriberto; Mongrut, Samuel; Nash, Mauricio; Rosales, Luis Francisco; Torres, Gabriela; Treviño, Eduardo

    2009-01-01

    In the last 50 years, we have had approximately 40 events with characteristics related to financial crisis. The most severe crisis was in 1929, when the financial markets plummet and the US gross domestic product decline in more than 30 percent. Recently some years ago, a new crisis developed in the United States, but instantly caused consequences and effects in the rest of the world. This new economic and financial crisis has increased the interest and motivation for the academic communit...

  6. Motherly and Fatherly Love

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Motherly love by its very nature is unconditional.Mother loves the newborn infant because it is her child,not because the child has fulfilled any specific condition, or lived up to any specific expectation.Unconditional love corresponds in one of the deepest longings,not only of the child,but of every human being;on the other hand,

  7. Becoming lesbian mothers.

    Science.gov (United States)

    Hequembourg, Amy L

    2007-01-01

    Lesbian mothering strategies are commonly theorized as instances of assimilationism or resistance. This essay critiques those approaches and presents a promising alternative using the conceptual framework of Gilles Deleuze and Felix Guattari. Their concepts of "becoming" and "rhizoming" are utilized as mechanisms for understanding the inconsistencies and contradictions that constitute the subjectivities of two lesbian co-mothers. The essay concludes with the political implications of these analyses.

  8. Bargaining in the crisis

    DEFF Research Database (Denmark)

    Ibsen, Christian Lyhne; Andersen, Søren Kaj; Due, Jesper Jørgen;

    2011-01-01

    The economic crisis weighed heavily on the 2010 collective bargaining rounds in the Danish and Swedish manufacturing sectors – the pattern-setting sectors in both countries. This article analyses and compares the bargaining rounds from agenda-setting to signing, pointing to the significant...... differences in bargaining structures, processes and output. On the whole, the crisis seems to have had little effect on the Danish bargaining system due to a strong centralization on the employer side through the Confederation of Danish Industries, union moderation and the coordination of bargaining areas...

  9. Crisis of Transient Chaos

    Institute of Scientific and Technical Information of China (English)

    王文秀; 陆云清; 陈贺胜; 马明全; 竹有章; 何大韧

    2002-01-01

    A new kind of crisis, which is marked by a sudden change of a strange repeller, is observed in an electronicrelaxation oscillator. Firstly, by its simplified piecewise linear model, we show analytically that a strange repellerappears after a hole-induced crisis, and that the fractal dimension of the strange repeller and the average lifetimeof the iterations in the region occupied by the original attractor suddenly change at the critical parameter valuewhen the repeller disappears. Our numerical investigation convinces us that the corresponding phenomenon canbe found in the original electronic relaxation oscillator.

  10. Dark energy crisis

    Energy Technology Data Exchange (ETDEWEB)

    Gu, J.-A. [Leung Center for Cosmology and Particle Astrophysics (LeCosPA), National Taiwan University (NTU), Taipei 10617, Taiwan (China)

    2010-11-01

    In cosmology we are facing the dark energy crisis: How can we survive huge vacuum energy, meanwhile living with tiny dark energy? For the solution to this crisis, we raise several clues and hints, in particular, supersymmetry and the double hierarchy, M{sub p}-M{sub SM}-M{sub DE} (Planck-Standard Model-dark energy scales). These two clues naturally lead to a solution with a supersymmetry-breaking brane-world. The train of thought from the clues to the solution is elucidated.

  11. Interpretando la crisis

    OpenAIRE

    Franco Eugenio Nanni; Adriana Fátima Panico

    2009-01-01

    El propósito de este trabajo es analizar e interpretar la crisis económico- financiera actual y sus similitudes con las crisis que se sucedieron en el siglo XX, marcando sus causas y consecuencias. Para realizar este estudio consideramos las series del producto y de las tasas de crecimiento de Estados Unidos y del Reino Unido, ya que poseen datos históricos fidedignos. Utilizamos la metodología de modelos estructurales de espacio de estado para analizar las series de tiempo, detectar las caí...

  12. Psicoterapia de la crisis.

    Directory of Open Access Journals (Sweden)

    José Luis González de Rivera y Revuelta

    2001-01-01

    Full Text Available La crisis es un sindrome agudo de estrés, caracterizado por la ruptura brusca de la vivencia de continuidad psíquica y por la respuesta activa ante un proceso de cambio. El éxito en esta respuesta favorece el desarrollo e integración de la personalidad, mientras que su fracaso puede llevar a una total desestructuración. La intervención terapéutica requiere consideración del tipo y fase de la crisis, de la personalidad y experiencias criticas del sujeto, y de los condicionantes socioculturales del entorno. :

  13. Breastfeeding practices in mothers: a qualitative study

    Directory of Open Access Journals (Sweden)

    Nanis S. Marzuki

    2014-01-01

    Full Text Available Background Despite the WHO and UNICEF recommendations, the well-known breastfeeding benefits, and the efforts to promote and support breastfeeding, exclusive breastfeeding by Indonesian mothers remains low and contributes to high infant mortality rates. Objective To elucidate the factors that influence mothers’ choices for infant feeding Methods This qualitative study was conducted as part of a nationwide survey. The study included 36 in-depth interviews of mothers with infants aged 0-11 months, and health care professionals, including general practitioners, pediatricians, and midwives. This study was performed between October – November 2010 in both rural and urban areas of 4 provinces in Indonesia. Results We found that most mothers intended to breastfeed and had positive perceptions of breastfeeding. However, mothers faced many challenges in the practice of exclusive and proper breastfeeding. Additionally, the perceived definition of exclusive breastfeeding varied among the participants, leading to non-exclusive breastfeeding attitudes. The most frequent reasons for mothers to introduce additional milk formula or food were the perception of an inadequate milk supply, infant dissatisfaction or fussiness after feeding. Different perceptions were also demonstrated in different regions and the varying levels of socioeconomic status. Health care practitioners (HCPs were the most reliable source for giving adequate information, but unfortunately, they were not easily accessible and provided inconsistent information. Consequently, closely-related family members were the major contributors of information to a mother’s choice of infant feeding, because they were easily accessible. Conclusion Factors influencing mothers in their breastfeeding practices are their basic knowledge, demographic and socio-economic status, as well as the availability of support from closely-related family members, friends, and HCPs. [Paediatr Indones. 2014;54:35-41.].

  14. The correlation between stress and economic crisis: a systematic review.

    Science.gov (United States)

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees' well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers' mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages).

  15. Ebola Crisis in the United States

    Directory of Open Access Journals (Sweden)

    Avinash Raghunath Patwardhan M.D.

    2014-12-01

    Full Text Available This article is about readiness of the U.S. health care system to deal with crises. Using the Ebola crisis as a reference, first it examines the response to the current challenge. However, that is the smaller objective of the article. Lately, we are also being challenged to deal with other kinds of epidemics like obesity, mental health diseases, and violence. These crises are not dramatic like the Ebola crisis. However, these are no less insidious than Ebola. If we are not ready for them, then these crises have the potential to undermine the long-term health and prosperity of our society. In this context, and therefore mainly, this article is about two major long-standing systemic problems in the U.S. health care system that the unfolding of the Ebola crisis has bared. One is about how the inherent problem in the design of American federalist system regarding state autonomy on health matters is creating a dysfunctional health care system. The other is about the inertia of the research industry in the health care system in clinging to an archaic outdated inefficient mind-set and methodology that fails to generate the right information required for an appropriate decision making in matters of health care delivery, including crises. These problems are not small, nor their solutions easy. However, no matter how uncomfortable and tedious, facing them is necessary and inevitable. The discussions and arguments in this article are to outline their nature broadly and to make a call to further a dialogue.

  16. How Can Schools Address America's Marriage Crisis? Prepare Young People for Rewarding Careers

    Science.gov (United States)

    Petrilli, Michael P.

    2015-01-01

    There are no obvious or easy prescriptions for reversing the trends of the familial challenges that have grown deeper and wider in the last fifty years in regard to the number of babies born to unwed mothers, with the majority of all children born to women in their 20s. This article discusses the challenges regarding the marriage crisis in…

  17. The view of the child health nurse among mothers.

    Science.gov (United States)

    Fägerskiöld, Astrid; Timpka, Toomas; Ek, Anna-Christina

    2003-06-01

    The aim of this exploratory study was to investigate mothers' experiences of their encounters with the child health (CH) nurse. A cross-sectional design was used for the study, based on data from 140 mothers gathered by the critical incident technique. The analysis was accomplished by a thematic content analysis, using inductive reasoning in three steps. Symbolic interactionism was used as a frame of reference. The results suggest that the central factor in the encounter between mother and nurse is that they are able to share the realm of motherhood, meaning that the nurse is open and willing to share all types of emotions, experiences and attitudes related to being a mother. Given this basis, other important factors are the supply of sound advice and practical interventions, and that the nurse is reassuring and accessible. The majority of the participating mothers had experienced CH nurses who had provided them with valuable support during troublesome incidents. However, there were also several dissatisfied mothers who had expected support but thought they received insulting treatment instead. The mothers and the nurses have varying experiences and background and therefore different perspectives, which may lead to difficulties in understanding each other. Knowledge about the important factors, that affect the mother-nurse encounter, can be used to strengthen the nurses' positive behaviours and facilitate understanding of how disappointed mothers have experienced their health care encounters.

  18. Crisis, Kuhn, Fuller

    DEFF Research Database (Denmark)

    Jensen, Hans Siggaard

    2003-01-01

    Social Epistemology 17(2):197?201. 2003 Short description: In this paper Hans Siggaard Jensen looks at the concept of crisis as a central aspect of Kuhn?s theory of science, and relate it to Steve Fullers account of this theory as itself exemplary?not to say paradigmatic?for the understanding...

  19. Financial Crisis Redux?

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Observers refute the start of a new Asian financial crisis sparked by Viet Nam’s financial and economic troubles It looked like a sudden nightmare when stockholders with hundreds of millions of Vietnamese dong found their pockets half empty overnight. The once prosper- ous bull market in Viet Nam plummeted to

  20. Crisis -- A Leadership Opportunity

    Science.gov (United States)

    2005-04-01

    On the contrary, an organization which has no clear purpose, or a “valueless” purpose such as simply raising capital – as in the Enron scandal ...citation without the permission of the authors" “Tribune Scandal : A Case Study in Crisis Management.” Utah Policy.com. 8 Dec 2004 <http

  1. Crisis Counseling: An Overview

    Science.gov (United States)

    Sandoval, Jonathan; Scott, Amy Nicole; Padilla, Irene

    2009-01-01

    Psychologists working in schools are often the first contacts for children experiencing a potentially traumatizing event or change in status. This article reviews basic concepts in crisis counseling and describes the components of psychological first aid. This form of counseling must be developmentally and culturally appropriate as well as…

  2. Trust vs. Crisis

    DEFF Research Database (Denmark)

    Mogensen, Kirsten

    2014-01-01

    to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968), Alf Ross Directives and Norms (1967), and Arthur G. Neal National Trauma...

  3. Managing a Crisis

    Science.gov (United States)

    Pierce, Dennis

    2016-01-01

    Planning ahead, practicing your response for various scenarios, being open and honest, showing empathy and respect for other peoples' perspectives and assuring stakeholders that you have the situation covered are the foundations of communicating successfully during a crisis, experts say. This article provides strategies for Community College…

  4. Unpacking the Global Crisis

    DEFF Research Database (Denmark)

    Juego, Bonn; Schmidt, Johannes Dragsbæk

    The paper hopes to contribute to a reading of the political economy of the current global crisis with a focus on four interrelated themes. First, we discuss the constitutive role and functional character of crises in the evolution of neo-liberalism in particular and in capitalist reproduction in ...

  5. The Walking Debt Crisis

    DEFF Research Database (Denmark)

    Basse, Tobias; Kruse, Robinson; Wegener, Christoph

    stability of Greece, Ireland, Italy, Portugal and Spain during the European debt crisis. First, we find compelling evidence for bubbles in the Dow Jones Equity Real Estate Investment Trust (REITs) index which serves as a weekly measure of economic activity in the North American real estate sector. Second...

  6. Crisis and Environmental Philosophy

    Directory of Open Access Journals (Sweden)

    Peter Wolsing

    2014-06-01

    Full Text Available Environmental ethics began in the 1960s with a growing awareness of coming environmental problems such as pollution and the projected shortage of resources caused by an acceleration in human’s technically based exploitation of nature. In addition to becoming an issue in public debate and in politics since the 1970s, the environmental crisis, which can be laid at the door of industrialization, calls for a more basic consideration of man’s attitude to nature. In this paper I give a short presentation of the concept of crisis in a selection of the principal classical critical philosophies of history and suggest that they all connect crisis to the oppression of man’s inner nature. I go on to sketch the idea of environmental crisis as an oppression of outer nature (the natural environment suggesting that a new, more nuanced organic concept of nature is needed as a condition for ascribing value to life on earth as a whole, which is what most non-anthropocentric ethical theories to some extent do.

  7. The Impact of Foreign Housemaids on the Children of Working Mothers: A Case Study from Jordan

    Science.gov (United States)

    Jabbar, Sinaria Kamil Abdel

    2014-01-01

    The role of grandparents and other close relatives in caring for the children of working mothers has been diminishing in modern societies everywhere including Jordan. Concurrently, the dependence on housemaids to care for the children of working mothers has been on the rise. The impact of housemaids on young Jordanian children (4-5 years old) was…

  8. A Study of Korean Working Mothers with Infants: Implications for Research and Social Policy

    Science.gov (United States)

    Seo, So-Jung

    2006-01-01

    The purpose of this study was to examine a broad range of variables that predict maternal self-efficacy with a sample of 92 Korean working mothers whose infants are cared for at non-maternal child care settings. In addition, differences between mothers of infants on welfare roll and their socioeconomic status (SES) counterparts (not on welfare)…

  9. Insights into the Ukrainian Crisis

    Directory of Open Access Journals (Sweden)

    Costel Daniel Arfire

    2014-05-01

    Full Text Available Political crises are increasingly frequent and devastating not only for the population of a state, but also for the international diplomacy. Such an example is the ongoing Ukrainian crisis. Starting from S. Fink‘s life cycle of a crisis and T.W. Coombs‘s crisis response strategies, I will analyse the evolution of the Ukrainian crisis and the crisis response strategies of three major international actors: Vladimir Putin, Barack Obama and Angela Merkel. The findings of my study will prove that the denial strategy prevails in Putin‘s statement, whereas Obama uses the diminish strategy and Merkel focuses on the bolstering strategy.

  10. Infant mortality and crisis in Mexico.

    Science.gov (United States)

    Bronfman, M

    1992-01-01

    Data derived from the Encuesta Nacional de Fecundidad y Salud (ENFES) confirm that overall levels of infant mortality in Mexico have been steadily declining. However, a more specific analysis furnishes evidence that this decline has occurred at varying rates within different social groups, reflecting an increase in social inequalities. The analytical strategy used in this article leads to three basic conclusions: (1) the impact of the economic crisis on infant mortality is reflected not in a reversal of the declining trend but an increase in social inequalities; (2) certain variables universally accepted as determinants of infant mortality, such as mother's education, seem nonsignificant for some social sectors; and (3) certain biodemographic characteristics assumed to have a uniform mortality-related behavior vary among sectors, suggesting that even these constants are determined by social factors.

  11. a Comparison Between Chemically Dependent Mothers and Drug-Free Mothers: Lifestyle during the Perinatal Period

    Science.gov (United States)

    Uskokovic, Lila Milica

    This study compared maternal lifestyle variables pertinent to the perinatal period in groups of chemically dependent mothers and drug-free mothers. Twenty-nine cocaine -abusing mothers were compared to 29 drug-free mothers carefully matched on age, race, education, and primipara versus multipara status. The drug history of each chemically dependent woman was explicitly documented. The chemically dependent group was subdivided into two groups, mothers who abused cocaine and those who abused cocaine with concomitant opiate use. Each of these two subgroups was compared to its respective matched drug-free control group. Finally, a comparison was made between the two drug subgroups. All subjects were interviewed within 48 hours after delivery using the following measures: State-Trait Anxiety Inventory (A-State), Center for Epidemiologic Studies - Depression Scale, The Self-Esteem Scale, Maternal Adjustment and Maternal Attitude Questionnaire, The Neonatal Perception Inventory, The Psychiatric Epidemiology Research Interview Life Events Scale, Maternal Social Support Index, and Short Marital Adjustment Test. A t-test analysis revealed significant differences (p abused opiates with cocaine did not differ from their controls on depression and maternal adjustment and attitudes. No significant differences were obtained in the drug subgroup comparisons. These results identify increased life events and specific negative affect states that clinical intervention programs should address to assure the best possible outcome for chemically dependent mothers and their infants.

  12. [Eight characteristics of leaders in crisis management].

    Science.gov (United States)

    Yen, Miaofen; Fang, Szu-Ting

    2006-02-01

    Everything is changing in our daily life. The ancient Chinese philosopher, Sun Tzu, said "The art of war teaches us to rely not on the likelihood of the enemy's not coming, but on our own readiness to receive him". In the challenging environment of today, nursing administrators should prepare themselves by developing a range of skills to face the changing world. This article introduces Chinese and Western leadership theories and suggests eight key characteristics of successful leaders in health care. Equipped with these characteristics, nursing leaders should be able to collaborate with other professionals in their organization to manage any crisis. Success in crisis management also enhances an organization's general potential to succeed in this competitive world.

  13. Collection for Refugee and Migration Crisis

    CERN Multimedia

    Rolf Heuer, Director-General,

    2015-01-01

    Dear Colleagues, In response to the current refugee and migration crisis, we are starting a collection today and we are calling on your generosity. The funds will be forwarded to the International Federation of Red Cross and Red Crescent Societies to respond to the humanitarian needs of the refugees and migrants, providing immediate and longer-term relief, including emergency medical care and basic health services, psychological support, temporary shelter, distribution of food & water and other urgently needed items. We hope that your contributions to the above-mentioned appeal will not prevent you from sparing a thought for them and doing whatever you can to help them. Bank account details for donations: Bank account holder: Association du personnel CERN - 1211 GENEVE 23 Account number: 279-HU106832.1 IBAN: CH85 0027 9279 HU10 6832 1 BIC:  UBSWCHZH80A Please mention: Refugee and Migration Crisis

  14. The financial crisis in Italy: implications for the healthcare sector.

    Science.gov (United States)

    de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter

    2012-06-01

    The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis.

  15. Tackling the problem of the social exclusion of teenage mothers.

    Science.gov (United States)

    Watt, Amy

    2002-06-01

    The majority of teenage mothers in the UK come from poor backgrounds, with few prospects of work locally and little to aim for educationally. But with help from government education and child-care schemes and the intervention of health-care professionals, much can be done to improve their position. This paper looks at current research and practical projects in this area.

  16. Breastfeeding policies and breastfeeding support programs in the mother's workplace.

    Science.gov (United States)

    Bettinelli, Maria Enrica

    2012-10-01

    Women should never be forced to make a choice between mother-work and other work. Many women mistakenly think they cannot breastfeed if they plan to return to work, and thus they may not talk with their employers about their intention to breastfeed or how breastfeeding might be supported at their workplace. All breastfeeding policies and strategies underline the importance of providing support for lactating mothers and highlight the need to promote specific interventions in the workplace. Possible strategies for working mothers include having the mother keep the baby with her while she works, allowing the mother to go to the baby to breastfeed during the workday, telecommuting, offering flexible work schedules, maintaining part-time work schedules, and using on-site or nearby child care centres.

  17. As a mother tenderly: exploring parish ministry through the metaphor and analogy of mothering

    OpenAIRE

    Percy, Emma

    2012-01-01

    As a mother tenderly: using mothering as a metaphor and analogy for parish ministry. The thesis sets out to use maternal imagery as a way of articulating the practice of parish ministry in the Church of England. The aim is to find a language which can affirm and encourage many aspects of good practice that are in danger of being over looked because they are neither well articulated nor valued. The ministry of a parish priest is a relational activity: characterised by care. It is becaus...

  18. Low-Income First-Time Mothers

    Directory of Open Access Journals (Sweden)

    Jean Hannan PhD

    2016-07-01

    Full Text Available Background. Low-income mothers have greater challenges in accessing health care services due changes in the health care system and budget cuts. The purpose of this randomized clinical trial was to test a nurse practitioner (NP intervention using cell phone and texting on maternal/infant outcomes. Methods. The sample included 129 mother-infant pairs. Intervention group mothers received NP 2-way cell phone follow-up intervention post–hospital discharge for 6 months. Results. Intervention mothers’ perceived social support was significantly higher. Intervention infants received their first newborn follow-up visit significantly earlier (6 vs 9 days; significantly more infants were immunized at recommended times (2, 4, and 6 months of age; and there were fewer infant morbidities compared to controls. The intervention saved between $51 030 and $104 277 in health care costs averted. Conclusion. This easy-to-use, safe intervention is an effective way to reach a wide range of populations and demonstrated improved maternal/infant outcomes and decreased cost.

  19. The Chinese Tiger Mother

    OpenAIRE

    Jacek Hołówka

    2011-01-01

    In 2010 a book by Amy Chua: Battle Hymn of the Tiger Mother was published and it sparked a broad discussion among pedagogues and the open society about the factors determining educational success. Chua forms a simple and provocative thesis – the Chinese mothers are the best in the world because they don’t spoil their children, quickly introduce them into the adult culture, have high expectations of them, they are brusque and cold but they teach their children how to survive and be competitive...

  20. [From violence to bonding: constructing new meanings for attention to the crisis].

    Science.gov (United States)

    Willrich, Janaína Quinzen; Kantorski, Luciane Prado; Antonacci, Milena Hohmann; Cortes, Jandro Moraes; Chiavagatti, Fabieli Gopinger

    2014-01-01

    This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Care's professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identification of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Difficulties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.

  1. Causes and consequences of the Spanish economic crisis: Why the recovery is taken so long?

    Directory of Open Access Journals (Sweden)

    Carballo-Cruz Francisco

    2011-01-01

    Full Text Available Spain is currently facing its worst crisis in the last fifty years. The crisis began as an extension of the international financial crisis, but the internal imbalances accumulated in the pre-crisis period aggravated the situation. At present their incomplete adjustment is making difficult the economic recovery. This paper describes the evolution of the economic crisis in Spain. The real estate sector and the banking sector are analyzed in detail, as they played a key role in the detonation and the deepening of the crisis. The results of the main reforms carried out so far are also carefully examined. It also discusses the main factors that have delayed the economic recovery up to now (unemployment and indebtedness, and present some alternatives to define an exit strategy.

  2. Crowds and Crisis

    DEFF Research Database (Denmark)

    Borch, Christian

    of crowds and their alleged revolutionary aspirations. Interestingly, the sociological interest in crowds took off in the late nineteenth century as a reflection on modern political (dis)order, with the French Revolution and in particular the Paris Commune serving as key points of reference. This early......The November Revolution in 1918 made manifest and further unleashed a political crisis in Germany, the consequences of which have been thoroughly examined. What has attracted less attention is how the Revolution also triggered a semantic crisis within sociology, namely with regard to conceptions...... semantics of crowds associated collective behaviour with irrationality, contagion and hypnotic suggestibility. Precisely this semantic repertoire was called into question after the November revolution: Weimar sociologists, with Theodor Geiger in a lead role, argued for an alternative conception of crowds...

  3. Crisis concealing light

    Directory of Open Access Journals (Sweden)

    Romanou Katy

    2016-01-01

    Full Text Available In this article I discuss the blossoming of musical life in Greece that begun in 1974, simultaneously with the growth of the debt crisis. Communist musicians returned from exile and they were hailed as heroes while their music became indispensible to pre-electoral gatherings. Connected to the return to democracy, music and musicians became extremely important to politicians and loved by the people, and were offered a substantial portion of the money that poured in from the EU. Cold War cultural politics played their role in promoting avant-garde music as well. In comparison, today Greece has a great number of excellent musicians and the architectural infrastructure for the performance and study of music, but these are concealed by the daily hammering of crisis news.

  4. Spirituality, Crisis, and Illusions

    Directory of Open Access Journals (Sweden)

    LOSONCZ, Alpar

    2016-03-01

    Full Text Available This article deals with the structural interpretations of the ongoing crisis. The author considers the approaches of Joseph Alois Schumpeter and Tibor Scitovsky that thematize the long-run destiny of capitalism. The viewpoint is constituted as the relation between the structural socio-economic tendencies and existential constellations. What is addressed by the crisis is capitalism as a dependent system. The author emphasizes that capitalism cannot survive without the outside sphere, reciprocal interactions, economics of community, eco-system and complex eco-social moments. This can be applied to the frequently mentioned embeddedness which is related to Polanyi and other researchers who are influenced by Polanyi’s concepts. Embeddedness can be analyzed through the holon, from the inside perspective. Only comprehensive perspective enables to see the entire horizon, since capitalism cannot summarize the eco-system, not even with the most sophisticated techniques that recognize monetary expressions.

  5. Second Episode of the Global Crisis: 2011European Debt Crisis

    Directory of Open Access Journals (Sweden)

    Zafer SEZGİN

    2012-06-01

    Full Text Available Measures for 2008 Global Economic Crisis cause a new crisis at 2011. Irreducible budget deficit, decreasing economy, great debt stock cause concern about sustainability of debt for some European economies. For ceasing ecomomic crisis, ECB takes some monetary policy measures; EFSF and monetary expansion are in place. This article aims to explain existing and oncoming conditions of European economies. Methodology is setting representative and containing suitable period data set from primary resources.

  6. Depression and Anxiety in Iranian Mothers of Children with Epilepsy

    OpenAIRE

    2012-01-01

    How to Cite this Article: Soltanifar A, Ashrafzadeh F, Mohareri F, Mokhber N. Depression and Anxiety in Iranian Mothers ofChildren with Epilepsy. Iranian Journal of Child Neurology 2012;6(1):29-34. ObjectiveEpilepsy is a common neurological disorder in children. Parents with epileptic children have many psychosocial care needs. So the main goal of this study was to evaluate depression and anxiety in Iranian mothers with epileptic children.Materials & MethodsWe identified 30 mothers of chi...

  7. Crisis de cianosis

    OpenAIRE

    Pardo, Analía

    2005-01-01

    Las crisis de cianosis son eventos hallados casi exclusivamente en la Tetralogía de Fallot. Se caracterizan por irritabilidad, cianosis aguda y taquipnea. En situaciones más graves puede llevar a la hipotonía, pérdida de conocimiento, convulsiones, accidente cerebrovascular y muerte. Es el evento más grave de la Tetralogía de Fallot. Se observa en 30% de estos pacientes, mayormente entre los 3 y 5 meses de edad. ...

  8. Crisis in management solutions

    OpenAIRE

    BATYUK B.

    2013-01-01

    The paper discusses psychological properties of managers in stressful situations, their ability to make appropriate management decisions and act objectively according to the situation. The author conventionally divided into categories due to present management solutions in new crisis. The basis of the separation of management categories are psychological and personality and expertise of managers. Particular attention is paid to the managers ability to use their psychological data, combined wi...

  9. Averting a Future Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The world has left the worst of the financial crisis behind,but memories of the meltdown have barely faded.But what made the world's economy so vulnerable,and what kinds of lessons can we draw from it? Yi Gang,Deputy Governor of the People's Bank of China and Administrator of the State Administration of Foreign Exchange,discussed these issues in a speech at the Lujiazui Forum 2010 held in Shanghai on June 25-26.Edited excerpts follow:

  10. The US Financial Crisis

    DEFF Research Database (Denmark)

    Campbell, John L.

    2011-01-01

    Many comparative political economists hold that market performance depends on the presence of institutional complementarities. Some argue that when institutions reinforce similar incentives markets work best. Others disagree and argue that for markets to function well institutions must compensate...... for each other's shortcomings rather than reinforce each other's incentives. This paper uses evidence from the US financial crisis of 2008 to adjudicate this debate. It argues that different types of institutional complementarities are necessary in combination to ensure market stability and successful...

  11. Sentimentos e percepções de puérperas com relação à assistência prestada pelo serviço materno-infantil de um hospital universitário Mother's feelings and perceptions of the obstetric-neonatal care in an a terciary level teaching hospital

    Directory of Open Access Journals (Sweden)

    Ligia Maria Suppo de Souza Rugolo

    2004-12-01

    Full Text Available OBJETIVOS: avaliar percepções e sentimentos de puérperas adultas e adolescentes, relacionados ao filho e a assistência materno-infantil, em hospital universitário de nível terciário. MÉTODOS: estudo transversal, envolvendo 180 puérperas, no Alojamento Conjunto (AC e no Berçário Interno (BI do Hospital das Clínicas da Faculdade de Medicina de Botucatu , entrevistadas no segundo e terceiro dia pós-parto e distribuídas em três grupos: adultas primíparas, adultas multíparas e adolescentes. Para comparação entre grupos e locais de internação utilizou-se o chi2 ou teste de Fisher. RESULTADOS: ultrasom obstétrico e cardiotocografia tiveram impacto positivo na emoção materna. Houve pouca diferença entre os grupos quanto aos sentimentos antes e após o parto, sendo felicidade, amor, responsabilidade, ansiedade e medo os mais freqüentes. A culpa predominou nas adolescentes do BI. As percepções relacionadas ao filho, a avaliação da assistência e equipe, não diferiram entre adultas e adolescentes. Nas duas enfermarias o relacionamento entre mães e cuidadores foi bom, as mães mostraram-se satisfeitas com a equipe e a assistência, mas o aleitamento materno foi pouco valorizado e poucas mães conheciam o médico. CONCLUSÕES: está ocorrendo um processo de humanização na assistência materno-infantil deste hospital universitário, mas alguns aspectos precisam ser melhorados, especialmente a valorização do aleitamento materno e a individualização no contato médico-paciente.OBJETIVOS: to evaluate mother's (adults and adolescents feelings and perceptions about their infants and the obstetric-neonatal care in a terciary level teaching hospital. METHODS: cross-sectional survey. 180 mothers were interviewed two and three days postpartum, in the maternity wards and nurseries of the Hospital das Clínicas- Faculdade de Medicina de Botucatu and distributed in three groups: adult multiparous, adult primiparous and adolescents

  12. Leadership in Crisis Situations

    Directory of Open Access Journals (Sweden)

    Cameron R. Hume

    1997-12-01

    Full Text Available ¿Qué hay que hacer para prevenir el estallido o la continuación de un conflicto interno que tenga consecuencias internacionales? ¿Qué circunstancias podrían generar una acción unilateral por parte de los Estados Unidos, Francia o el Reino Unido para crear coalicionesque dieran una respuesta internacional a estas situaciones de crisis? Para acercarse a las respuestas de estas preguntas, Hume examina la actual y sobrecargada agenda del Consejo de Seguridad de las Naciones Unidas y las actitudes ante situaciones de crisis. El autor revisa tres de las fuentes de liderazgo nacional –voluntad, capacidad y visión– y las relaciona con la problemática internacional y las experiencias de las Naciones Unidas en Somalia y Rwanda y de UNPROFOR en Bosnia. A partir de su análisis, Hume argumenta que, a la hora de afrontar situaciones de crisis, la autoridad para usar la fuerza no debiera divorciarse de los intereses nacionales de los Estados participantes en una misión de las Naciones Unidas, aunque, en una fase posterior, otros actores debieran participar para identificar vías de diálogo, preservar las normas internacionales y hallar soluciones a los conflictos internos.

  13. Revisiting the financial crisis

    Institute of Scientific and Technical Information of China (English)

    黄明

    2009-01-01

    Recently,the media and commentators have saturated us with talk of the subprimeinduced financial debacle. Yet,some basic questions remain unanswered:why did almost all of the"market doorkeepers"fail to function in the crisis? Why did the financial intermediaries,such as investment banks selling complex derivatives,go under? Why did the crisis cause such far-reaching repercussions? What seed did U.S.Treasury Secretary Henry Paulson sow for the fiasco to rage globally? What does the future hold for financial regulation? In the face of the tempestuous"financial tsunami,"what lessons should China learn and how should the country develop a more secure capital market? Unlike other macroeconomists, Dr.Huang Ming proceeds from a micro perspective to sort out the financial mess along the logical chain within the capital market.In this interview,Dr.Huang presents a clear and unsettling look at the breakout,transmission and spreading path of the financial crisis

  14. CRISIS LEADERSHIP - AN ORGANIZATIONAL OPPORTUNITY

    Directory of Open Access Journals (Sweden)

    James E. Prewitt

    2011-09-01

    Full Text Available Reactive leadership and crisis management have been synonymous for years. This flows from the belief that crisis is unpredictable and unexpected, which is simply not true. Crisis has its genesis in the values, beliefs, culture, or behavior of an organization which become incongruent with the milieu in which the organization operates. A leader, who is able to read the signals of looming crisis and understands how to harness the exigency brought on by the situation, can diminish the potential dangers and take full advantage of the resulting opportunities. This paper presents a generic crisis lifecycle as a representation of overall crisis. Since a crisis can be broken down into three unique phases, crisis lifecycles can be understood and utilized for the benefit of the organization. In the first phase of the lifecycle, the organization finds itself mired in a static phase which equates to a comfort zone. In this first phase leaders struggle when they attempt to introduce change or learning due to the organizations preference to avoid conflict and maintain stasis. When a crisis engulfs an organization then the stasis that envelops the organization evaporates and gives rise to the second phase or the disaster phase. The disaster phase often threatens the very existence of the organization. When the organization successfully eliminates the immediate organizational threat, the organization is able to enter the adjustive phase of the crisis lifecycle. In this third phase, the leader has the undivided attention of the organization and the underlying urgency to solve the issues that led to the crisis in the first place. Regrettably, many leaders don’t take advantage of this golden opportunity and push the organization back toward the status-quo which ensures that the crisis will return in force. The study of crisis leadership has become more important since the dawn of the new millennium because leaders in all areas face differing degrees of crisis in

  15. Mothers in Honors

    Science.gov (United States)

    Killinger, Mimi; Binder-Hathaway, Rachel; Mitchell, Paige; Patrick, Emily

    2013-01-01

    This article describes the experiences of four honors mothers as they offer sage advice. They argue convincingly that they are motivated, focused students who bring rich diversity to college programs. They further report disturbing marginalization and isolation that could be ameliorated with support and increased sensitivity on the part of…

  16. Mothers, work and childcare

    NARCIS (Netherlands)

    Ingrid Ooms; Evelien Eggink; Edwin van Gameren

    2007-01-01

    Original title: Moeders, werk en kinderopvang in model. The government wants women to go out to work more. The choices made by women between working and looking after children are accordingly receiving a great deal of attention. This report describes which factors influence these choices by mothers

  17. The efficiency of emerging Europe’s banking sector before and after the recent economic crisis

    Directory of Open Access Journals (Sweden)

    George Anayiotos

    2010-09-01

    Full Text Available This paper provides estimates for the relative efficiency of banks in emerging Europe before the recent boom, just before the crisis, and right after the crisis, using a Data Envelopment Analysis (DEA. The results suggest that DEA efficiency scores before the recent crisis were strongly linked to the host country’s level of development; were higher for foreign-owned banks; but did not stand out for bank groups with a presence in more than one country. The results also suggest that bank efficiency increased during the precrisis boom, but fell during the crisis. Finally, foreign-owned banks in emerging Europe seem to be less efficient than their mother banks, suggesting that although they may bring some efficiency benefits to their host country, they are highly affected by the local business and operational environment.

  18. Talking to Parents: Communication in Times of Crisis and Beyond.

    Science.gov (United States)

    Wendell, Charlene

    2002-01-01

    Camps should always have a crisis management plan, but the events of September 11, 2001, make it especially important. Honest communication with parents is paramount--directors should choose their words carefully and control the tone of their voices. Examples are given of crises involving weather, transportation, and a shooting. Questions to…

  19. Knowledge, attitudes and practices of mothers regarding diarrhoea among children in a Sudanese rural community.

    Science.gov (United States)

    Ahmed, I S; Eltom, A R; Karrar, Z A; Gibril, A R

    1994-11-01

    A survey of knowledge, attitudes and practices of mothers in the rural communities of two villages in Sudan regarding diarrhoeal diseases in children was conducted using a focus group research technique. Seven groups of literate mothers (87 mothers) and 13 groups of illiterate mothers (152 mothers) interviewed comprised 85% of mothers with children under 5 years of age in that community. The study showed that mothers can define and describe diarrhoea, however awareness about the aetiology and the importance of germs in its causation was low. The majority of mothers attributed diarrhoea to teething, milk of pregnant women, hot food and salty water. Less than 40% of mothers identify symptoms and signs of "dehydration" and the need for consultation. Only 10% could relate danger signs to severe dehydration. The ORS use rate was very low (2.1-4.3%). Although awareness about ORS was high (100%), only 25% prepared and used it correctly. However, home made fluids including rice water, custard, pap and tabaladi juice were used by 45% of the mothers. 45% of illiterate mothers stop breast feeding and food during diarrhoea compared to 30% of literate mothers. Harmful practices used in caring for children with diarrhoea included: fumigation (50%), cauterization and removal of teeth buds (45% illiterate mothers, 10% literate), withholding of breast feeding and indiscriminate use of drugs and herbs in 30%.

  20. Global financial crisis

    Directory of Open Access Journals (Sweden)

    MSc. Jusuf Qarkaxhija

    2011-03-01

    Full Text Available The most recent developments in economy are a clear indicator of many changes, which are a result of this high rate pacing, which also demonstrates as such. Market economy processes occur as a result of intertwining of many potential technological and human factors, thereby creating a system of numerous diver-gences and turbulences. Economics, a social science, is characteri-sed with movements from a system to another system, and is har-monized with elements or components which have impacted the development and application of economic policies as a result. This example can be illustrated with the passing from a commanded system (centralized to a self-governing (decentrali-zed system, while the movement from a system to another is known as transi-tion. Such transition in its own nature bears a number of problems of almost any kind (political, economic, social, etc., and is charac-terised with differences from a country to another. Financial crisis is a phenomenon consisting of a perception of economic policies and creation of an economic and financial stabi-lity in regional and global structures. From this, one may assume that each system has its own changes in its nature, and as a result of these changes, we have the crisis of such a system. Even in the economic field, if we look closely, we have such a problem, where development trends both in human and technological fields have created a large gap between older times and today, thereby crea-ting dynamics with a high intensity of action. If we dwell on the problem, and enter into the financial world, we can see that the so-called industrialized countries have made giant leaps in deve-lopment, while countries in transition have stalled in many fields, as a result of a high rate of corruption and unemployment in these countries, and obviously these indicators are directly connected, thereby stroking the financial system in these countries. Corruption is an element, which directly and indirectly

  1. Major Survey Findings of Listening to MothersSM III: New Mothers Speak Out

    Science.gov (United States)

    Declercq, Eugene R.; Sakala, Carol; Corry, Maureen P.; Applebaum, Sandra; Herrlich, Ariel

    2014-01-01

    To understand the experiences and views of childbearing women in the United States and trends over time, Childbirth Connection carried out the third national Listening to Mothers survey among 2,400 women who gave birth in U.S. hospitals to a single baby from mid-2011 to mid-2012 and could participate in English. A follow-up survey directed to the same participants explored postpartum experiences, in depth and well into the second year after birth; views about maternity care; and some additional pregnancy and birth items. Harris Interactive conducted the surveys using a validated methodology that includes data weighting to ensure that results closely reflect the target population. The follow-up survey was reported in Listening to Mothers III: New Mothers Speak Out. PMID:24453464

  2. Successful Ways for Crisis Management

    Institute of Scientific and Technical Information of China (English)

    ByHuYuyue; LiLiang

    2004-01-01

    In the past spring and summer, the burst of SARS crisis had a negative influence on people's daily life and enterprises'business. Under the impact of SARS, leaders of enterprises had personally known more of a word——crisis, and at the same time they had thought of another concept——crisis management. But if we try to comorehend it from another point of view.

  3. The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania

    Directory of Open Access Journals (Sweden)

    Leshabari Sebalda

    2011-07-01

    Full Text Available Abstract Background In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in prevention of mother-to-child transmission (PMTCT service utilization and adherence to infant feeding guidelines. Methods The study was conducted during 2007-2008 in rural and urban areas of Moshi district in the Kilimanjaro region of Tanzania. Mixed methods were used and included focus group discussions with mothers-in-law, mothers and fathers; in-depth interviews with mothers-in-law, mothers, fathers and HIV-infected mothers, and a survey of 446 mothers bringing their four-week-old infants for immunisation at five reproductive and child health clinics. Results The study demonstrated that the mother-in-law saw herself as responsible for family health issues in general and child care in particular. However she received limited trust, and couples, in particular couples living in urban areas, tended to exclude her from decisions related to childbearing and infant feeding. Mothers-in-law expected their daughters-in-law to breastfeed in a customary manner and were generally negative towards the infant feeding methods recommended for HIV-infected mothers; exclusive replacement feeding and exclusive breastfeeding. Conclusions Decreasing influence of the mother-in-law and increasing prominence of the conjugal couples in issues related to reproduction and child care, reinforce the importance of continued efforts to include male partners in the PMTCT programme. The potential for involving mothers-in-law in the infant feeding component, where she still has influence in some areas, should be further explored.

  4. Interaction during feeding times between mothers and malnourished children under two years of age

    Directory of Open Access Journals (Sweden)

    Paula Chuproski Saldan

    2015-01-01

    Full Text Available This study sought to understand the relations between mothers and malnourished children at feeding times. It is an exploratory study with qualitative data analysis. Data collection was performed at home by means of participant observation with eight mother-child dyads and three grandmothers. Based on the thematic analysis, the following themes emerged: food and interaction; day-to-day care of the child. The families' life situation was unfavorable. Mothers and grandmothers were responsible for preparing family meals, feeding and child care. The mother-child relationships were permeated by gestures of affection, slaps, scolding, and threats during feeding and there were cases of negligence, physical and psychological violence in daily care. Some mothers and grandmothers spoke quietly and cared for the child to be fed and cleaned while others mothers showed little patience for dealing with the child and they became easily irritated. Mothers' life stories were marked by adverse events and most of them faced emotional problems that could have repercussions in relationships with children at feeding times and in daily care. The mother-child interactions at home do not always favor feeding and responsive care, which may further worsen the nutritional status of these children.

  5. The correlation between stress and economic crisis: a systematic review

    Directory of Open Access Journals (Sweden)

    Mucci N

    2016-04-01

    Full Text Available Nicola Mucci,1 Gabriele Giorgi,2 Mattia Roncaioli,3 Javier Fiz Perez,2 Giulio Arcangeli11Department of Experimental and Clinical Medicine, University of Florence, Florence, 2Department of Psychology, European University of Rome, Rome, 3Department of Biomedical Sciences for Health, University of Milan, Milan, ItalyAbstract: In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees’ well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers’ mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages.Keywords: economic crisis, recession, work-related stress, mental health, risks assessment, occupational medicine

  6. SARS: Key factors in crisis management.

    Science.gov (United States)

    Tseng, Hsin-Chao; Chen, Thai-Form; Chou, Shieu-Ming

    2005-03-01

    This study was conducted at a single hospital selected in Taipei during the SARS (Severe Acute Respiratory Syndrome) outbreak from March to July, 2003 in Taiwan. During this period of time, 104 SARS patients were admitted to the hospital. There were no negative reports related to the selected hospital despite its being located right in the center of an area struck by the epidemic. The purpose of this study was to identify the key factors enabling the hospital to survive SARS unscathed. Data were collected from in-depth interviews with the nursing directors and nursing managers of the SARS units, along with a review of relevant hospital documents. The five key elements identified as survival factors during this SARS crisis are as follows: 1. good control of timing for crisis management, 2. careful decision-making, 3. thorough implementation, 4. effective communication, and 5. trust between management and employees. The results of this study reconfirmed the selected hospital as a model for good crisis management during the SARS epidemic.

  7. WHO ARE THE WORKING MOTHERS.

    Science.gov (United States)

    Women's Bureau (DOL), Washington, DC.

    INFORMATION ON THE STATUS OF WORKING MOTHERS AND ON THE FACTORS THAT MOTIVATE THEM TO SEEK PAID EMPLOYMENT IS PROVIDED THROUGH 20 QUESTIONS AND ANSWERS. AMONG THE NEARLY 27 MILLION WOMEN WORKERS IN THE UNITED STATES IN MARCH 1966 WERE 9.9 MILLION MOTHERS WITH CHILDREN UNDER 18 YEARS OF AGE. THESE WORKING MOTHERS CONSTITUTED 36 PERCENT OF ALL…

  8. Crisis management can leave residual effects.

    Science.gov (United States)

    Margolis, G L; DeMuro, P R

    1991-10-01

    A healthcare organization that once suffered from poor financial performance may fail to correct recovery methods that can cause lingering legal and accounting problems. A crisis management style is prone to creating problems with an organization's debt structure, Medicare and Medicaid payment, tax issues, labor relations, licensing and accreditation, compliance with fraud and abuse rules, and accounting for charity care. After stabilizing a worrisome financial situation, a healthcare organization should conduct an internal audit to ensure that its legal and accounting practices remain above board.

  9. Benefícios da permanência de participação da mãe no cuidado ao filho hospitalizado Beneficios de la permanencia de participación de la madre en el cuidado al hijo hospitalizado Benefits of mothers' permanence and participation in the care for their hospitalized child

    Directory of Open Access Journals (Sweden)

    Rosemeire Cristina Moretto Molina

    2009-12-01

    ón por el poder cuidar del hijo. Es preciso que los enfermeros repiensen su comportamiento en lo que se refiere a la madre acompañante y adopten actitudes que favorezcan su participación en el cuidado del hijo hospitalizado.The purpose of the present study was to identify, according to the mothers' perspective, the benefits related to her permanence and participation in the care for her child hospitalized at a Pediatric Intensive Care Unit (PICU. The theoretical framework was Cross-cultural Nursing Theory, and the methodological framework was the assistant convergent research approach. Data was collected from six mothers of children hospitalized at a PICU of a University Hospital, in the period from January to May 2007, through interviews and active observation. Analysis was conducted following four generic processes: collection, synthesis, theorization and application. The results evidenced that the mothers' presence and care increased the attachment between mother and child, increased mothers' confidence, and made the child calmer. This produced positive feelings such as joy and satisfaction for being able to care for their child. Nurses should review their behavior toward the mothers accompanying their child at the hospital, and adopt attitudes that support her participation in the care for her hospitalized child.

  10. More Than a Teacher. Caring for Children, Number Two.

    Science.gov (United States)

    Murphy, Lois B.; Leeper, Ethel M.

    The booklet is the second in a series on the ways that child care centers can contribute to the healthy growth and development of preschool children, and focused on is the mothering teacher. The child care teacher is thought to be a mother substitute who can help the child learn to trust the world. Mothering is seen to involve a natural drive to…

  11. Desnutrição infantil no contexto familiar de mães adolescentes: visão cultural do cuidado - DOI: 10.4025/actascihealthsci.v26i1.1648 Infantile malnutrition in the familiar context of adolescent mother: culture care view - DOI: 10.4025/actascihealthsci.v26i1.1648

    Directory of Open Access Journals (Sweden)

    Mirna Albuquerque Frota

    2004-04-01

    Full Text Available A desnutrição é considerada a maior causa da mortalidade infantil, podendo estar ligada à difícil condição socioeconômica e cultural vivenciada no cotidiano. Objetivouse descrever o contexto cultural da mãe adolescente e o cuidado do filho desnutrido. As informantes foram mães adolescentes que acompanhavam seus filhos internados no Instituto de Prevenção à Desnutrição e à Excepcionalidade (Iprede. O trabalho baseia-se nos pressupostos da etnoenfermagem segundo a Teoria da Universalidade e Diversidade Cultural do Cuidado (Leininger, 1991. A coleta de dados fundamentou-se no modelo de observação – participação – reflexão. Os dados foram analisados, tendo emergido o tema cultural: como cuido do filho desnutrido. Resultados revelam que, em sua maioria, as mães adolescentes mostram-se confusas e ansiosas no cuidado com o filho desnutrido, demonstrando tentativas e formas de cuidar, que vão desde os conhecimentos empíricos à procura dos serviços de saúde. O foco cultural do cuidado objetiva uma assistência holística, conseqüentemente, maior satisfação de segmentos específicos da população marcados por problemas socioculturais.Malnutrition is considered the major cause of infantile mortality. This can be due to the difficult socioeconomic and cultural conditions that they experience in their daily life. The aim of this study was to describe the adolescent mother's cultural context and the undernourished child's care. The informers were the adolescent mothers who accompanied their children interned at the Institute of Prevention to the Malnutrition and Excepcionality (Ipreme. This work is based on the theoretical support of etnonursing according to the Theory of Universality and Cultural Diversity of the Care (Leininger, 1991. Data collection was based on the observation - participation - reflection model. The data were analyzed and the following cultural theme emerged: How to take care of my undernourished child

  12. Teen mothers, unintended pregnancies, and costs across Delaware.

    Science.gov (United States)

    Maiden, Kristin; Gunter, Whitney D; Martin, Steven S; Ehrenthal, Deborah B

    2014-04-01

    The present study used data from several sources to 1) present information on mothers and births in a single state (Delaware); 2) present cost data to estimate health-related birth real costs; and 3) use the data to estimate the costs and impact on mothers, health care providers, and taxpayers. In addition, this study explicitly examined costs of births through the lens of unplanned/unintended teen and young adult births. Concomitantly, the medical cost of these pregnancies for most of these young mothers who had not wanted to be pregnant at the time, was paid for through the state's Medicaid program. The percentage of Medicaid funded births was much higher for young mothers than for older mothers. Ultimately, it was estimated that young teen (age 17 and under) births cost about $4.0 million each year, older teens (18-20) births $14.0 million, and young adults (21-24) over $26 million. The State funded almost 75 percent of the health care costs of young teen pregnancy prenatal care, deliveries, and newborn care, through Medicaid. And over 75 percent of these Medicaid costs are for births that were unintended at the time. The cost of unintended teen and young adult births funded through Medicaid in Delaware was approximately $25 million annually.

  13. Analysis of Discharged First Time Mothers Recall of Information Presented in Postpartum Teaching Sessions

    Science.gov (United States)

    2013-01-31

    obstetrical groups, such as new mothers with sick newborns or multiparas who have the additional task of caring for other children. Definitions...If the new mother’s postpartum hospital course became complicated or if the healthy newborn was admitted to the Neonatal Intensive Care Unit, the...baby before 37 weeks - My labor and/or delivery was high-risk - This is not my first baby - My baby is in the Neonatal Intensive Care Unit RISKS

  14. Crisis Communication Plans: Poor Predictors of Excellent Crisis Public Relations.

    Science.gov (United States)

    Marra, Francis J.

    1998-01-01

    Argues that newly developed theory in crisis public relations suggests a shift is necessary in the way practitioners view crises. Notes that the new paradigm defines excellent crisis public relations very differently from the literature of the past 20 years. (RS)

  15. The Administration's Crisis Multiplied by the Crisis of the Administrated

    Directory of Open Access Journals (Sweden)

    Alina Livia NICU

    2014-11-01

    Full Text Available The starting point of this work is the idea that the concept of “crisis” should be approached with no fear. It is necessary to understand it as the signal which attracts attention upon the fact that some changes are appropriate and that some rationally thought actions ought to be taken in order to soften the social phenomena occurring within a crisis period. We may say that in the core of the crisis lies impregnated the basic substance of progress and that the moment when a crisis is declared is as well the moment of a new start. It is necessary to anticipate the crisis, in order to prepare the adequate means able to soften up the shocks created by its incipit and to bring forward the progress through its action itself. One of the most necessary and useful instruments able to smooth down the crisis' effects is the early education provided to the citizens concerning the frame of the behavior to be adopted in case of crisis. The officials and the public servants are the social actors who constitute the interface between the citizen who is going to suffer the crisis and this latter's exerted pressure. The personnel from the public administration has to assume the hardest role in reducing the most possible the crisis' effects. Some possibilities are analysed that could reduce the effects of the economical, social and political crises, among which the most important is the quality of juridical norms. The Romanian legislation concerning the public charge is studied, in respect to its capacity to motivate the public servant to perform at his up most level, during crisis periods but not only then. The idea is emphasized that panic and uncontrolled social movements in case of a crisis might lead to the multiplying of the negative effects. The personnel from the public administration comes to a direct confrontation with the pressure of the negative effect of the crisis, as it is received by the public administration - understood as a structure

  16. Crisis ambiental y cristianismo

    OpenAIRE

    Felipe Cárdenas

    2008-01-01

    En el artículo se identifican y reconocen algunas opciones que se pueden desarrollar en el cristianismo en relación con la problemática ambiental. Se aborda el dilema bíblico suscitado por interpretaciones antiecológicas y ecológicas. Con base en una lectura de la Biblia, de testimonios cristianos, y en una rememoria de estructuras institucionales, como la parroquia, se analiza el valor que tiene el mensaje cristiano en lo referido a la mitigación de la crisis ambiental.This article identifie...

  17. [Crisis in medical ethics].

    Science.gov (United States)

    Stellamor, K

    1996-01-01

    There is a disproportion between diagnostic and therapeutic medical achievements and the doctor/patient relationship. Are we allowed to do everything we are able to do in medicine? People are concerned and worried (genetic technology, invasive medicine, embryos in test tubes etc.). The crisis of ethics in medicine is evident. The analysis of the situation shows one of the causes in the shift of the paradigma-modern times to postmodern following scientific positivism-but also a loss of ethics in medicine due to an extreme secularism and to modern philosophical trends (Hans Jonas and the responsibility for the future and on the other hand modern utilitarism).

  18. La crisis de RTVE

    OpenAIRE

    1992-01-01

    Radiotelevisión Española (RTVE), la televisión pública española de ámbito estatal, es una empresa en permanente crisis que, paradójicamente, ha dado a luz en estas últimas décadas una rentable industria audiovisual. Este artículo refleja la situación de RTVE en 1992, y a pesar del tiempo transcurrido encierra numerosas lecciones de cómo una empresa pública informativa puede llegar a ser desmantelada al tiempo que se insiste en su papel de servicio público esencial.

  19. A Letter to Mother

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    MOTHER, I remember the day I left you to emigrate to the United States. We were hugging sadly in your room while the taxi waited to take my husband, my son and me to the airport. My heart was broken by the thought that I might never see you again. On the plane, I could hear your voice : "" Do not worry about what you have left behind. Look forward and be a strong woman.

  20. Los medios ante la crisis

    OpenAIRE

    Restrepo, Javier Dario

    1995-01-01

    La ponencia analiza el papel que los medios de comunicación deben cumplir en la actual crisis política que atraviesa Colombia. La actual crisis permite poner en duda la capacidad de los medios para encontrar y difundir solola verdad.

  1. A Third Wave of Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ If we label the sub-prime mortgage crisis that broke out in the United States in March 2007 and the financial meltdown triggered by Lehman Brothers'bankruptcy in August 2008 as the first two phases of the global financial crisis,then we're,without a doubt,entering a third phase.

  2. Varieties of capitalism in crisis?

    DEFF Research Database (Denmark)

    Bruff, Ian; Horn, Laura

    2012-01-01

    In this introduction to the special issue, we provide a brief overview of the two distinct but connected meanings of the phrase ‘varieties of capitalism in crisis’: (1) the crisis of empirical political economies under conditions of capitalist diversity; and (2) the crisis of the institutionalist...

  3. Organizational Learning and Crisis Management

    Science.gov (United States)

    Wang, Jia

    2007-01-01

    The impact of crises on organizations has been stronger than ever. This article explores the role of organizational learning in crisis management, an area that has received little attention from HRD community. Recognizing the dynamics and interconnectedness of crisis management, organizational learning, and organizational change, the article…

  4. Myxedema Coma: A New Look into an Old Crisis

    Directory of Open Access Journals (Sweden)

    Vivek Mathew

    2011-01-01

    Full Text Available Myxedema crisis is a severe life threatening form of decompensated hypothyroidism which is associated with a high mortality rate. Infections and discontinuation of thyroid supplements are the major precipitating factors while hypothermia may not play a major role in tropical countries. Low intracellular T3 leads to cardiogenic shock, respiratory depression, hypothermia and coma. Patients are identified on the basis of a low index of suspicion with a careful history and examination focused on features of hypothyroidism and precipitating factors. Arrythmias and coagulation disorders are increasingly being identified in myxedema crisis. Thyroid replacement should be initiated as early as possible with careful attention to hypotension, fluid replacement and steroid replacement in an intensive care facility. Studies have shown that replacement of thyroid hormone through ryles tube with a loading dose and maintenance therapy is as efficacious as intravenous therapy. In many countries T3 is not available and oral therapy with T4 can be used effectively without major significant difference in outcomes. Hypotension, bradycardia at presentation, need for mechanical ventilation, hypothermia unresponsive to treatment, sepsis, intake of sedative drugs, lower GCS and high APACHE II scores and Sequential Organ Failure Assessment (SOFA scores more than 6 are significant predictors of mortality in myxedema crisis. Early intervention in hypothyroid patients developing sepsis and other precipitating factors and ensuring continued intake of thyroid supplements may prevent mortality and morbidity associated with myxedema crisis.

  5. The neonatal nurse: advocating for breastfeeding mothers.

    Science.gov (United States)

    Darby, Colm; Nurse, Sharon

    2016-02-01

    Accurate information and support from healthcare professionals as well as respect for parental choice are all factors which contribute to effective breastfeeding in the neonatal unit; with this in mind, Colm Darby and Sharon Nurse discuss the potential problems in expressing breast milk and the interventions which might be effective in avoiding them. Advocacy is an inherent part of neonatal nurses' role whilst caring for sick, vulnerable babies. Colm Darby is a male neonatal nurse working in a predominantly female environment and passionately believes in supporting and advocating for mothers who want to provide breast milk for their babies. In this article, CoIm uses Borton's model of reflection to discuss how he acted as an effective advocate for such a mother.

  6. [Mother-friendly childbirth practices and breastfeeding].

    Science.gov (United States)

    Lin, Ya-Wen; Tzeng, Ya-Ling; Yang, Ya-Ling

    2013-02-01

    Childbirth, connecting the stages of pregnancy and postpartum, deeply affects maternal motivation with regard to initiating and continuing postnatal breastfeeding and ultimate breastfeeding success. Although promoting breastfeeding is a strategy critical to achieving wellbeing in both mothers and infants, there remains a lack of professional attention and related research into the effect of childbirth on breastfeeding. Promoting successful breastfeeding is a central component of childbirth-friendly nursing care. Therefore, this paper introduces the origin and concepts of mother-and-infant-friendly childbirth, then analyzes the influences on breastfeeding of medicalized birth practices and suggests how to implement childbirth-friendly interventions. This paper was written to help nurses better understand how the childbirth process affects breastfeeding and provide a reference for creating conditions during childbirth that encourage successful breastfeeding practices.

  7. Non-verbal mother-child communication in conditions of maternal HIV in an experimental environment.

    Science.gov (United States)

    de Sousa Paiva, Simone; Galvão, Marli Teresinha Gimeniz; Pagliuca, Lorita Marlena Freitag; de Almeida, Paulo César

    2010-01-01

    Non-verbal communication is predominant in the mother-child relation. This study aimed to analyze non-verbal mother-child communication in conditions of maternal HIV. In an experimental environment, five HIV-positive mothers were evaluated during care delivery to their babies of up to six months old. Recordings of the care were analyzed by experts, observing aspects of non-verbal communication, such as: paralanguage, kinesics, distance, visual contact, tone of voice, maternal and infant tactile behavior. In total, 344 scenes were obtained. After statistical analysis, these permitted inferring that mothers use non-verbal communication to demonstrate their close attachment to their children and to perceive possible abnormalities. It is suggested that the mothers infection can be a determining factor for the formation of mothers strong attachment to their children after birth.

  8. Child Care Centres.

    Science.gov (United States)

    Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.

    Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…

  9. The Chinese Tiger Mother

    Directory of Open Access Journals (Sweden)

    Jacek Hołówka

    2011-12-01

    Full Text Available In 2010 a book by Amy Chua: Battle Hymn of the Tiger Mother was published and it sparked a broad discussion among pedagogues and the open society about the factors determining educational success. Chua forms a simple and provocative thesis – the Chinese mothers are the best in the world because they don’t spoil their children, quickly introduce them into the adult culture, have high expectations of them, they are brusque and cold but they teach their children how to survive and be competitive. Chua shows this educational model as a contrast to the Western model, where the children have their own, naive and sentimental culture, their own shops and catwalks in shopping malls. The results of systematic research on education seem to prove something quite different. The educational success has to be measured using different scales, because it depends on different factors. The data published by OECD show that the level of education depends on the educational tradition of the society, level of GDP, intergenerational contacts, level of education of teachers and their social status. A strong determiner is the family, but not necessarily the mother. Even more, there is a strong correlation between the results in learning and a supporting stance of the parents, but also with their habit of spending free time with their children. The parents who take their children to the cinema, an a trip, gossip with them or take them to McDonalds, can be sure that their children will have statistically higher than the average grades. Detailed results from other sources show that success correlates the most with grades from previous class, parents’ habit of talking about things at school, higher education of the parents, being a child of a single mother, signing the child up for extracurricular classes from music and the mother working part-time. Failure correlates with being an Afro-American or Latino, checking homework by parents, free time after school without

  10. Credibility and Crisis Stress Testing

    Directory of Open Access Journals (Sweden)

    Li Lian Ong

    2014-02-01

    Full Text Available Credibility is the bedrock of any crisis stress test. The use of stress tests to manage systemic risk was introduced by the U.S. authorities in 2009 in the form of the Supervisory Capital Assessment Program. Since then, supervisory authorities in other jurisdictions have also conducted similar exercises. In some of those cases, the design and implementation of certain elements of the framework have been criticized for their lack of credibility. This paper proposes a set of guidelines for constructing an effective crisis stress test. It combines financial markets impact studies of previous exercises with relevant case study information gleaned from those experiences to identify the key elements and to formulate their appropriate design. Pertinent concepts, issues and nuances particular to crisis stress testing are also discussed. The findings may be useful for country authorities seeking to include stress tests in their crisis management arsenal, as well as for the design of crisis programs.

  11. Finnish care integrated?

    Directory of Open Access Journals (Sweden)

    Jouni Niskanen

    2002-06-01

    Full Text Available The public Finnish social and health care system has been challenged by the economic crisis, administrative reforms and increased demands. Better integration as a solution includes many examples, which have been taken to use. The most important are the rewritten national and municipals strategies and quality recommendations, where the different sectors and the levels of care are seen as one entity. Many reorganisations have taken place, both nationally and locally, and welfare clusters have been established. The best examples of integrated care are the forms of teamwork, care management, emphasis on non-institutional care and the information technology.

  12. Crisis ambiental y cristianismo

    Directory of Open Access Journals (Sweden)

    Felipe Cárdenas

    2008-01-01

    Full Text Available En el artículo se identifican y reconocen algunas opciones que se pueden desarrollar en el cristianismo en relación con la problemática ambiental. Se aborda el dilema bíblico suscitado por interpretaciones antiecológicas y ecológicas. Con base en una lectura de la Biblia, de testimonios cristianos, y en una rememoria de estructuras institucionales, como la parroquia, se analiza el valor que tiene el mensaje cristiano en lo referido a la mitigación de la crisis ambiental.This article identifies and recognizes some options that can be developed in Christianity in relation to the environmental problem. It starts by analyzing the biblical dilemma provoked by both ecological and antiecological interpretations. Based on a reading of the Bible, testimonies from Christians and with a rememory of institutional structures, like the parish, the valué of the Christian message for mitigating the environmental crisis is analyzed.

  13. Depression during gestation in adolescent mothers interferes with neonatal neurobehavior

    Directory of Open Access Journals (Sweden)

    Marina Carvalho de Moraes Barros

    2013-12-01

    Full Text Available Objective: To compare the neurobehavior of neonates born to adolescent mothers with and without depression during gestation. Methods: This prospective cross-sectional study included healthy term neonates born to adolescent mothers with untreated depression during gestation, without exposure to legal or illicit drugs, and compared them with infants born to adolescent mothers without psychiatric disorders. Maternal psychiatric diagnoses were assessed by the Composite International Diagnostic Interview (CIDI 2.1 and neonatal neurobehavior by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS at 24 to 72 hours of life. Neurobehavioral outcomes were analyzed by ANOVA adjusted for confounders. Results: 37 infants born to mothers with depression during gestation were compared to 332 infants born to mothers without psychiatric disorders. Infants of mothers with depression had smaller head circumferences. Significant interactions of maternal depression and male gender, gestational age > 40 weeks, regional anesthesia during delivery, vaginal delivery, and infant head circumference ≥ 34 cm were found. Worse performance was noted in the following neonatal neurobehavioral parameters: arousal, excitability, lethargy, hypotonicity, and signs of stress and abstinence. Conclusion: Infants born to adolescent mothers with depression exhibit some behavioral changes in the first days of life. These changes are associated with infant sex, gestational age, type of anesthesia, mode of delivery, and head circumference.

  14. Crisis? What crisis? How European professionals handle crises and crisis communication

    NARCIS (Netherlands)

    P. Verhoeven; R. Tench; A. Zerfass; A. Moreno; D. Verčič

    2013-01-01

    A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly

  15. Crisis? What crisis? How European professionals handle crises and crisis communication

    NARCIS (Netherlands)

    Verhoeven, P.; Tench, R.; Zerfass, A.; Moreno, A.; Verčič, D.

    2014-01-01

    A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly

  16. [Public health in major socio-economic crisis].

    Science.gov (United States)

    Cosmacini, G

    2014-01-01

    The term "crisis" in different cultures (such as ancient Greece or China) can have a positive meaning, since it indicates a time of growth, change and opportunity. Over the centuries there have been times of severe economic and social crisis that led to the implementation of major reforms and improved population health. Nowadays, despite the new economic crisis which has also affected health care for its rising costs, health economics does not hesitate to affirm the importance of key objectives such as prevention and medical assistance. Prevention is not prediction. Prevention means "going upstream" and fixing a problem at the source; the goal is to reduce diseases' effects, causes and risk factors, thereby reducing the prevalence of costly medical conditions.

  17. [Economic crisis and mental health. SESPAS report 2014].

    Science.gov (United States)

    Gili, Margalida; García Campayo, Javier; Roca, Miquel

    2014-06-01

    Studies published before the financial crisis of 2008 suggest that economic difficulties contribute to poorer mental health. The IMPACT study conducted in primary health care centers in Spain found a significant increase in common mental disorders. Between 2006 and 2010, mood disorders increased by 19%, anxiety disorders by 8% and alcohol abuse disorders by 5%. There were also gender differences, with increased alcohol dependence in women during the crisis period. The most important risk factor for this increase was unemployment. In parallel, antidepressant consumption has increased in recent years, although there has not been a significant inrease in the number of suicides. Finally, the study offers some proposals to reduce the impact of the crisis on mental health: increased community services, employment activation measures, and active policies to reduce alcohol consumption and prevent suicidal behavior, particularly among young people.

  18. The Accounting Network: how financial institutions react to systemic crisis

    CERN Document Server

    Flori, Andrea; Puliga, Michelangelo; Chessa, Alessandro; Pammolli, Fabio

    2016-01-01

    The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies' financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001-2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible region...

  19. Neoliberalism, trade imbalances, and economic policy in the Eurozone crisis

    Directory of Open Access Journals (Sweden)

    Engelbert Stockhammer

    2016-12-01

    Full Text Available This paper analyzes the causes of the Eurozone crisis. In doing so, it carefully surveys authors from different economic schools of thought. The paper discusses competing explanations for European current account imbalances. Remarkably, opposing views on the relative importance of cost developments and demand developments in explaining current account imbalances can be found in both heterodox and orthodox economics. Regarding the assessment of fiscal and monetary policy there is a clearer polarisation, with heterodox analysis regarding austerity as unhelpful and most of orthodox economics endorsing it. We advocate a post-Keynesian view, which holds that current account imbalances are not a fundamental cause of the sovereign debt crisis. Rather, the economic policy architecture of the Eurozone, which aims at restricting the role of fiscal and monetary policy, is the key to understanding the crisis in Europe.

  20. Visión de las madres en el cuidado del hijo prematuro en el hogar Visão das mães no cuidado do filho prematuro em casa Vision of mothers in care of premature babies at home

    Directory of Open Access Journals (Sweden)

    Nubia Castiblanco López

    2011-07-01

    e analisada segundo a entrevista e análises etnográficos de James Spradley. Participantes: oito mães de recém nascidos prematuros que compareceram para controle no Programa Mãe Canguru Integral, Hospital Universitário São Ignácio, entre novembro de 2007 e maio de 2008. Resultados: surgem duas questões: cuidados diretos ao recém nascido prematuro e o caminho até a adaptação. O cuidado direto ao recém nascido prematuro em casa implica para a mãe carregar, massagear, proteger do frio, alimentar à criança, manter a higiene, conservar a proteção do médio, dar amor, suprir oxigeno suplementar ao bebê quando o precisar e saber sobre os sinais da criança. O caminho para a adaptação materna está dirigido a um objetivo para as mães: "criar a criança". Elas expressam que as noites são muito difíceis e expressam seus sentimentos e finalmente descrevem a adaptação materna ao hábito. Conclusão: a visão das mães sobre o cuidado do recém nascido prematuro é universal: "cuidar muito da criança" e ficar sempre atenta; por outro lado, a conotação de cuidado é diversa porque cada mãe o cataloga, desde sua própria percepção, como cuidado extremo, básico, essencial e especial. Também as mães compartilharam crenças, valores, tradições e mitos.Purpose: To describe the significance of taking care of premature babies at home for mothers, from their cultural context. Design: qualitative ethnographic study based on Madeleine Leininger's theory. Sample: Information obtained from observation and 23 interviews to mothers at home was collected and analyzed in accordance to the interview and James Spradley ethnographic analysis. Participants: eight mothers of premature newborns attending control at the Integral Kangaroo Mother Program (Programa Madre Canguro Integral, Hospital Universitario San Ignacio, between November 2007 and May 2008. Results: Two subjects arise: premature newborn care and the way to adaptation. Direct care to premature

  1. Analysing Maternal Employment and Child Care Quality

    NARCIS (Netherlands)

    Akgündüz, Yusuf

    2014-01-01

    The contributions in this thesis revolve around mothers' employment and child care quality. The first topic of interest is how mothers' employment is affected by modern child care services and parental leave entitlements. There is already an extensive literature on the effects of modern social polic

  2. Mothers' health-seeking behaviour in acute diarrhoea in Tlaxcala, Mexico.

    Science.gov (United States)

    Pérez-Cuevas, R; Guiscafré, H; Romero, G; Rodríguez, L; Gutiérrez, G

    1996-12-01

    This study, a cross-sectional survey, was conducted to assess how mothers take care of their children with diarrhoea and to develop a model of health-care seeking behaviour. Multistage sampling was used. Mothers whose children aged less than five years had suffered from diarrhoea in the last fortnight were included. Nurses interviewed the mothers to collect data. Variables included in the interview were: mothers' characteristics, children's characteristics, clinical data, treatment given by the mother, maternal health-seeking behaviour and mothers' information about diarrhoea and dehydration. Variables corresponding to the clinical data were grouped to identify dehydration signs and the need for medical care. Dehydration was defined as the presence of two or more of the following reported signs: thirst, sunken eyes, sunken fontanelle, or scanty urine. The need for medical care was defined as the presence of one or more of the following characteristics: illness lasting more than three days, vomiting, fever, bloody diarrhoea or dehydration. A sample of 747 mothers was obtained. Household treatments consisted of herbal teas to stop diarrhoea (52.3%), liquids to prevent dehydration (92.2%), symptomatic drugs (35.2%) and changes in feeding patterns (36.3%), which consisted in suppressing milk and dairy products and interrupting breast feeding (12.2%). Mothers sought medical assistance when they perceived a worsening of clinical conditions. Clinical signs statistically associated with their decision were: bloody diarrhoea, vomiting, illness longer than three days, weight loss, and fever. The signs of dehydration were not associated with health care-seeking because the mother did not recognise them. It is concluded that maternal educational programmes should emphasise, besides the proper use of oral rehydration therapy, teaching mothers to identify signs of dehydration as an indication to seek timely medical care.

  3. School Crisis Management: A Model of Dynamic Responsiveness to Crisis Life Cycle

    Science.gov (United States)

    Liou, Yi-Hwa

    2015-01-01

    Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,…

  4. Initial steps in extending crisis communication theory towards social media crisis dialogue: revisiting situational crisis communication framework

    OpenAIRE

    2013-01-01

    Research Summary The main focus of this research is on the study of stakeholders' naturally occurring reactions to corporate crisis and crisis communication. The literature review aimed to combine situational crisis communication framework (SCCT) with the strategic public relations management theory to establish an idea of strategic two-way crisis communication. The case study evidence is drawn from the Toyota USA Facebook site in relation to the Toyota recall crisis in 2009-2011 and studi...

  5. Crisis or Confusion?

    Institute of Scientific and Technical Information of China (English)

    Yang Junsheng

    2008-01-01

    @@ While the whole world has been severely affected by the financial crisis that originated in the U.S., the governments of many western countries have injected enormous amounts of cash into their banking sectors in order to maintain financial stability. There is no denying that the U.S. economy has slipped into a recession. Meanwhile, according to the latest statistics, Britain's GDP growth fell 0.5% in the first three quarters this year--the longest consecutive plunge in 16 years, indicating that the U.K. economy is also on the verge of a recession. The pessimistic economic outlook has made cnterpriscs in these countries sacrifice employee benefits by way of pay cuts and downsizing--to stabilize their economics.

  6. Energy Crisis: A Review

    Directory of Open Access Journals (Sweden)

    Swati Pathak

    2014-03-01

    Full Text Available The impending energy crisis and climate change concerns coupled with the mounting oil prices and the depleting fossil fuel sources, have grabbed significant attention from around the globe toward the establishment of environment friendly, renewable, carbon-neutral alternative fuels to fulfil the growing energy demands. Bioenergy derived from the micro-organisms is of great interest in the present world‟s energy scenario due to its renewability. Fuel cells and batteries powered by various sources such as blood, urine, bacteria, viruses, mitochondria have been discussed herein. Energy from biomass and derived fuels like biodiesel, which is a promising candidate to replace fossil fuels as the primary transport energy source may also lead to an era of economic bloom and prosperity of the society. The batteries and fuels discussed in the composition could be the next-generation fuels and a breakthrough to a less polluted, better, greener society, the way we all dream our world to be!

  7. Adrenal Crisis: Still a Deadly Event in the 21st Century.

    Science.gov (United States)

    Puar, Troy H K; Stikkelbroeck, Nike M M L; Smans, Lisanne C C J; Zelissen, Pierre M J; Hermus, Ad R M M

    2016-03-01

    Adrenal crisis is a life-threatening medical emergency, associated with a high mortality unless it is appropriately recognized and early treatment is rendered. Despite it being a treatable condition for almost 70 years, failure of adequate preventive measures or delayed treatment has often led to unnecessary deaths. Gastrointestinal illness is the most common precipitant for an adrenal crisis. Although most patients are educated about "sick day rules," patients, and physicians too, are often reluctant to increase their glucocorticoid doses or switch to parenteral injections, and thereby fail to avert the rapid deterioration of the patients' condition. Therefore, more can be done to prevent an adrenal crisis, as well as to ensure that adequate acute medical care is instituted after a crisis has occurred. There is generally a paucity of studies on adrenal crisis. Hence, we will review the current literature, while also focusing on the incidence, presentation, treatment, prevention strategies, and latest recommendations in terms of steroid dosing in stress situations.

  8. Similarity of Mothers' and Preschool Teachers' Evaluations of Socialization Goals in a Cross-Cultural Perspective

    Science.gov (United States)

    Döge, Paula; Keller, Heidi

    2014-01-01

    This study examines the similarity of socialization goals of a group of mothers with different cultural backgrounds and their children's respective preschool teachers in Germany. Additionally, the researchers were interested in the relationship between the degree of mother-teacher similarity and maternal satisfaction with child care. Questionnaire…

  9. Doulas' Perceptions on Single Mothers' Risk and Protective Factors, and Aspirations Relative to Child-Birth

    Science.gov (United States)

    Arat, Gizem

    2013-01-01

    This study the author aims to explore the perceptions of doulas on single mothers' risk and protective factors, and aspirations relative to child-birth in the postpartum care. The current study was conducted by semi-structured questions, case file reviews, field notes, and twelve home visits via utilizing Grounded Theory. These mothers receive…

  10. Diplomas and Diapers: Schooling for Young Street Mothers and Their Babies.

    Science.gov (United States)

    Ray, JoAnn; Roloff, Marilee

    1994-01-01

    Describes the Crosswalk program in Spokane, Washington, which provides teenage street mothers with housing, day care, and the opportunity to attend school. Discusses the development of the program, and describes the cases of several typical teenage mothers in the program. (MDM)

  11. Socialization in Context: Exploring Longitudinal Correlates of Mothers' Value Messages of Compassion and Caution

    Science.gov (United States)

    Wray-Lake, Laura; Flanagan, Constance A.; Maggs, Jennifer L.

    2012-01-01

    This study examined correlates of mothers' value messages using mother and adolescent reports across 3 years (N =1,638 dyads). Two fundamental socialization dimensions were assessed: compassion messages (e.g., caring for others) and caution messages (e.g., being wary of others). Multilevel models revealed distinct between-person and within-person…

  12. Treatment Needs and Services for Mothers with a Dual Diagnosis: Substance Abuse and Mental Illness.

    Science.gov (United States)

    Morris, Sylvia K.; Schinke, Steven P.

    1990-01-01

    Reviews treatment needs of dual diagnosed, substance abusing and mentally ill mothers. Suggests treatment strategies and programmatic options for serving and meeting needs of these mothers and their children. Devotes particular attention to residential and continuing care services and skills-based interventions for target clients. Concludes with…

  13. Family therapy with unmarried African American mothers and their adolescents.

    Science.gov (United States)

    Becker, D; Liddle, H A

    2001-01-01

    Almost two-thirds of African American births are to unmarried mothers, and these single parents are among the most economically vulnerable in the United States. The effects of chronic stressors such as poverty can compromise the ability of these mothers to parent effectively, particularly during the developmental period of adolescence, typically a stressful phase of parenting. This article describes a multidimensional family therapy (MDFT) approach to working with African American adolescents who have drug and/or behavior problems. It is maintained that addressing the intrapersonal functioning of African American single mothers is vital if they are to re-establish the attachment bonds necessary for the maintenance of essential parental influence in the lives of their adolescents. Through systematic attention to the parent as an individual, leading to a balance between self-care and care for others, parental supervision is more easily achieved and relational impasses between parent and adolescent more equitably resolved.

  14. Depression and Anxiety in Iranian Mothers of Children with Epilepsy

    Directory of Open Access Journals (Sweden)

    Atefeh SOLTANIFAR

    2012-03-01

    Full Text Available bjectiveEpilepsy is a common neurological disorder in children. Parents with epileptic children have many psychosocial care needs. So the main goal of this study was to evaluate depression and anxiety in Iranian mothers with epileptic children.Materials & MethodsWe identified 30 mothers of children with epilepsy and 30 mothers of children without epilepsy with children aged between 8 and 12 years who met the study criteria. In all children with epilepsy, the mothers were the main caregivers and all these children lived in two-parent families. Children in the control group were in the same age. Ninety-eight percent of children in the control group lived in two-parent families with the mother as the main caregiver. All mothers fulfilled the Beck Depression Inventory (BDI and Spielberger State-Trait Anxiety Inventory.ResultsAccording to these data, BDI scores were significantly higher in the mothers of epileptic children (mean of Beck score=16.5 compared to the control group (mean of Beck score=9.8. The total, Spielberger State-Trait Anxiety Inventory scores for mothers of children with epilepsy were 100.3, 51.7 and 48.6. However, these scores in the control group were 86.9, 45.1 and 41.8. These differences were statistically significant.In a second analysis, using the demographic data, we did not find any statistically significant relation between anxiety or depression and the mothers’ job, children’s medication and other demographic variables.ConclusionNeurologists and psychiatrists need to develop better programs for adequate management of psychiatric disorders in mothers with epileptic children.

  15. Research on Sichuan Cuisine Enterprises Crisis

    Directory of Open Access Journals (Sweden)

    Jianfei Nan

    2014-04-01

    Full Text Available It is impossible to avoid crisis for Sichuan cuisine enterprises. On the basis of emphasizing the importance of the research of Sichuan cuisine enterprises crisis, the paper mainly analyzed the issue of Sichuan cuisine enterprises crisis from three aspects including formation mechanism of Sichuan cuisine enterprises crisis, the impact mechanism of Sichuan cuisine enterprises crisis and its response measures(such as principles, methods and strategiesin order to provide an important reference so that Sichuan cuisine enterprises have a correct understanding of the crisis, effectively response to the crisis, and strengthen crisis management so as to achieve their scientific development themselves. To some extent, the paper is helpful to cope with the crisis and promote the safety operation of the enterprises which are facing the crisis.

  16. CURRICULUM GUIDE, CHILD CARE CENTERS.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…

  17. Vouchers for Day Care of Children: Evaluating a Program Model.

    Science.gov (United States)

    Parker, Michael D.

    1989-01-01

    Examined effects of a pilot voucher program on the price, supply, and quality of day care. Findings offered no conclusive evidence concerning expected benefits. Discusses vouchers' potential for easing the day care crisis. (RJC)

  18. The Roman Empire - The Third Century Crisis and Crisis Management

    Science.gov (United States)

    2012-04-04

    Ferrill, Arther. The Fall of the Oman Empire: the Military Explanation. London: Thames & Hudson , 1986. Gibbon, Edward. The History of the Decline and...Rankov, Boris. The Praetorian Guard. Oxford: Osprey Publishing, 1994. Scarre, Chris. Chronicle of the Roman Emperors. London: Thames And Hudson , 1995...of the Roman Emperors (London: Thames And Hudson , 1995), 149, 197. 8. Srdan Milasinovic and Zelimir Kesetovic, "Crisis And Crisis Management - A

  19. Crying babies, tired mothers - challenges of the postnatal hospital stay: an interpretive phenomenological study

    Directory of Open Access Journals (Sweden)

    Biedermann Johanna

    2010-05-01

    Full Text Available Abstract Background According to an old Swiss proverb, "a new mother lazing in childbed is a blessing to her family". Today mothers rarely enjoy restful days after birth, but enter directly into the challenge of combining baby- and self-care. They often face a combination of infant crying and personal tiredness. Yet, routine postnatal care often lacks effective strategies to alleviate these challenges which can adversely affect family health. We explored how new mothers experience and handle postnatal infant crying and their own tiredness in the context of changing hospital care practices in Switzerland. Methods Purposeful sampling was used to enroll 15 mothers of diverse parity and educational backgrounds, all of who had given birth to a full term healthy neonate. Using interpretive phenomenology, we analyzed interview and participant observation data collected during the postnatal hospital stay and at 6 and 12 weeks post birth. This paper reports on the postnatal hospital experience. Results Women's personal beliefs about beneficial childcare practices shaped how they cared for their newborn's and their own needs during the early postnatal period in the hospital. These beliefs ranged from an infant-centered approach focused on the infant's development of a basic sense of trust to an approach that balanced the infants' demands with the mother's personal needs. Getting adequate rest was particularly difficult for mothers striving to provide infant-centered care for an unsettled neonate. These mothers suffered from sleep deprivation and severe tiredness unless they were able to leave the baby with health professionals for several hours during the night. Conclusion New mothers often need permission to attend to their own needs, as well as practical support with childcare to recover from birth especially when neonates are fussy. To strengthen family health from the earliest stage, postnatal care should establish conditions which enable new mothers

  20. Correlation of Streptococcus mutans count in Mother-child Pair of Working and Nonworking Mothers: A Cross-sectional Study

    Science.gov (United States)

    Goswami, Mousumi; Singh, Darrel; Massod, Shahid S; Nganba, Khundrakpam

    2016-01-01

    Purpose To determine the prevalence of Streptococcus mutans (MS) in mother-child pairs and to evaluate the correlation in the levels of salivary MS of working and nonworking mothers with that of their children and their associations with other related factors. Materials and methods A cross-sectional study was carried out among 100 mother-child pairs residing in New Multan Nagar Colony, New Delhi, India. A total of 50 children with their mothers were included in the working group and another 50 were included in the nonworking group. A questionnaire regarding the feeding habits, oral hygiene habits, daily intake of sugars of the children along with their weaning time was carried out. All mothers and children were clinically examined for recording decayed, extracted, and filled teeth (deft)/decayed, missing, and filled teeth (DMFT), and whole unstimulated saliva was collected and cultured for MS in the laboratory. The data were collected and subjected to statistical analysis using chi-square, Spearman’s correlation, and logistic regression analysis. Results The prevalence of salivary MS in the children was 69%. A statistically significant correlation was found between the oral levels of MS in nonworking and working mother-child pairs. Regression analysis showed that those children who feed by bottle for more than 12 months, have daily sweet intake, have sugars in feeding bottle and have higher defts were more likely to have mutans score of 1 or 2. Conclusion The mother, working or nonworking, being the primary care provider is the major source of transmission of MS to their child irrespective of the amount of time spent with them. How to cite this article Sharma P, Goswami M, Singh D, Massod SS, Nganba K. Correlation of Streptococcus mutans count in Mother-child Pair of Working and Nonworking Mothers: A Cross-sectional Study. Int J Clin Pediatr Dent 2016;9(4):342-348. PMID:28127167

  1. Knowledge and Applications About Hand Hygiene of the Mothers

    Directory of Open Access Journals (Sweden)

    Duygu Arikan

    2011-10-01

    Full Text Available Aim; This research was carried out with the aim of evaluating knowledge and applications about hand hygiene of the children and the mothers themselves. Material Method;This research, retrospective and dectriptive, was carried out between the dates March 2009 and June 2009. The town of Palandoken was chosen randomly from three towns of Erzurum City Centre. Of the eight family health centre depending on this town, a family health centre was chose randomly by means of sampling. 4000 women in the 15 and 49 years of age group formed the study context. In the circumstance in which the context is known, the sampling was determined as 350 by means of sampling method. The women, married and with children, accepting to participate in the research or coming to family health centre for any reasons were included in the research. The data of the research were collected by a questionnaire form prepared by the researchers. The data of the research were evaluated by making percentage distributions in computer. Results; It was found out that 44.9 % of the women was in 26-35 age group, and that 52.6 % of the women was primary school graduate, and that 32.3 % of the women had to children. It was also found out that 83.7 % of the mothers washed their hands ten or more times, and that 38.6 % of the mothers washed their hands before coming into toilets, and that 100 % of the mothers washed their hands after going out the toilets, and that 75.7 % of the mothers dried their hands by using clot towels. When, during the child care, knowledge and applications about hand hygiene of the mothers were examined, it was observed that 59.1 % of the mothers washed their hands before giving breast feding, and that 39.4 % of the mothers know that they should wash their hands before changing their babies under. After changing baby diaper, the rate of mothers expressing that they should wash their hands was 93.3 %. 74.9 % of the mothers stated that the hands should be washed when the

  2. Atenção humanizada ao recém-nascido de baixo-peso (método Mãe Canguru: percepções de puérperas La atención humanizada al recién nascido de bajo peso (método madre canguru: percepción de mujeres en posparto Humane care newborn low-weight (kangaroo mother method: mother's perceptions

    Directory of Open Access Journals (Sweden)

    Priscila Nicoletti Neves

    2010-03-01

    todo Canguru. Concluyó que la enfermería desempeña un papel central en la inserción del método con la familia, con los cuidados.Breastfeeding is one of the key practices which promote health, being associated with a reduction of diseases and mortality in childhood. Thus, from the course conclusive work, the present article was structured, which aimed to recognize the perceptions of mothers in the face of the use of the mother kangaroo method. With a qualitative, descriptive and field approach, it was held at the Philanthropic Hospital of Ponta Grossa, Paraná, Brazil, by the months of August to October 2006, in which six mothers were included in the kangaroo mother method during the admission of the baby. For the gathering, semi-structured interviews were made and data were analyzed by the content analysis. This article analyzed two categories, maternal experience with the mother kangaroo method, with the subcategories: mother kangaroo method and maternal breastfeeding and experiences at the kangaroo practice; and knowing the kangaroo method. As a conclusion, nursing plays an essential role in the insertion of the family to the method, from the provided cares.

  3. A Mother's Humiliation: School Organizational Violence toward Latina Mothers

    Science.gov (United States)

    Monzo, Lilia D.

    2013-01-01

    This paper examines how Latina mothers experience violence in schools through everyday interactions with those positioned with greater power in our society. Drawing on Bourdieu's concept of symbolic violence, the article discusses how deficit perspectives held toward Latina mothers and the privileging of White, middle-class frames result in…

  4. CRISIS FOCUS: Stuck With Liquidity

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    With the risk of large-scale and systematic financial market crashes all but diminished, 2011 marks the beginning of the post-crisis era for the global economy and financial markets. But an old friend of 2010-

  5. The psychology behind the crisis

    Directory of Open Access Journals (Sweden)

    Amalia PANDELICA

    2010-05-01

    Full Text Available This paper is an extensive analysis of bought international business press andacademic literature in the field about crisis management and related fields. The paperis grounded on the premise that the psychology of the crisis is an important componentof the present international context and psychological factors play an important part inthe alteration of consumer’s behavior. The question that generated our researchapproach in such conditions was at what extent peoples’ behavior is determined byindividual rational choices. The central message of this paper is that in the presenteconomic crisis conditions the factors that are playing an important role in shapingpeople’s behaviour are: risk perception and risk attitude. We consider that at presentmanagers should understand how their clients react in crisis conditions and how theirbehavior changes in order to handle successfully the present situation.

  6. Regulating Finance After the Crisis

    DEFF Research Database (Denmark)

    Moschella, Manuela; Tsingou, Eleni

    2013-01-01

    It is now widely recognized that regulatory failures contributed to the onset of the global financial crisis. Redressing such failures has, thus, been a key policy priority in the post-crisis reform agenda at both the domestic and international levels. This special issue investigates the process...... of post-crisis financial regulatory reform in a number of crucial issue areas, including the rules and arrangements that govern financial supervision, offshore financial centers and shadow banking, the financial industry's involvement in global regulatory processes, and macroeconomic modeling. In so doing......, the main purpose of this special issue is to shed light on an often understudied aspect in regulation literature: the variation in the dynamics of regulatory change. Contributors examine the different dynamics of regulatory change observed post-crisis and explain variations by accounting...

  7. Interviewing College Students in Crisis.

    Science.gov (United States)

    Hersh, Jeffrey B.

    1985-01-01

    Presents a five-step model of a crisis interview and the special considerations in working with the suicidal and assaultive student for use by college counseling professionals. Discusses the special cases of suicidal and homocidal/assaultive potential. (LLL)

  8. CRISIS FOCUS Looking to China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The global financial crisis, which has plagued the world economy for two years, is nowhere near an end. Though a double-dip recession is unlikely, a fast and sound economic recovery is still out of reach.

  9. Exposed: younger mothers and breastfeeding.

    Science.gov (United States)

    Noble-Carr, Debbie; Bell, Catherine

    2012-11-01

    This qualitative study, conducted by volunteers from the Australian Capital Territory/Southern New South Wales (ACT/SNSW) Branch of the Australian Breastfeeding Association (ABA), explored the breastfeeding experiences of younger mothers (under the age of 26 years) in the ACT by conducting three focus groups. The study aimed to gain an understanding of how, when and where younger mothers want and need to receive breastfeeding information and support. Younger mothers provided important insights into their breastfeeding experiences, which were often characterised by judgement from health professionals and the wider public. A number of key issues were identified including: breastfeeding is far from a cultural norm in our society and as such the risks of artificial baby milk are not clearly understood by many younger mothers; younger mothers are strongly influenced by their partners, mothers and peers and they rely upon them for breastfeeding information and support. Younger mothers indicated that a number of improvements could be made to the way that breastfeeding information and support is currently provided within the ACT. The findings indicated that younger mothers (and their significant others) would benefit from receiving clear, concise and consistent breastfeeding information early on in their pregnancy, that is positive in tone, not necessarily 'young mum' specific and consistent with a 'less is more' approach. Younger mothers indicated that after the birth of their baby this breastfeeding information needs to be complemented by readily accessible, seamless, respectful support for as long as they need to establish breastfeeding and overcome any breastfeeding challenges. The focus group findings were largely consistent with the existing literature available on younger mothers and breastfeeding and provide valuable insights to all stakeholders responsible for providing breastfeeding information and support to younger mothers.

  10. Mobile crisis management teams as part of an effective crisis management system for rural communities.

    Science.gov (United States)

    Trantham, Doug; Sherry, Anne

    2012-01-01

    Mobile crisis management teams provide crisis prevention and intervention services in community settings. The Appalachian Community Services crisis management program shows how such teams can be used to effectively serve rural communities.

  11. Alitalia's Crisis in the Media

    DEFF Research Database (Denmark)

    Romenti, Stefania; Valentini, Chiara

    2010-01-01

    Purpose – The purpose of this investigation is to explore Alitalia and the Italian Government’s crisis response strategies (CRSs) implemented in three specific periods of 2008 to understand Alitalia and the Italian Government’s approach in communicating with media stakeholders as well as to exami...... the body of knowledge in crisis communication management and news coverage and offers some suggestions to manage effective media relations within the Italian media system....

  12. [Crisis of medicine and information].

    Science.gov (United States)

    Dri, P

    1998-01-01

    Western medicine is experiencing a period of crisis, which started in the middle of the twentieth century. Such crisis comes from three different directions: the lack of confidence in the capacity of physicians to solve medical problems; the difficulties in health system management, due to the need to find an equilibrium between costs and benefits; the physicians increasing specialization. Correct information and divulgation, together with evidence based medicine, represent possible ways to ameliorate this situation.

  13. Leadership in a (permanent) crisis.

    Science.gov (United States)

    Heifetz, Ronald; Grashow, Alexander; Linsky, Marty

    2009-01-01

    The current economic crisis is not just another rough spell. Today's mix of urgency, high stakes, and uncertainty will continue even after the recession ends. The immediate crisis--which we will get through with policy makers' expert technical adjustments--sets the stage for a sustained, or even permanent, crisis, a relentless series of challenges no one has encountered before. Instead of hunkering down and relying on their familiar expertise to deal with the sustained crisis, people in positions of authority--whether they are CEOs or managers heading up a company initiative--must practice what the authors call adaptive leadership. They must, of course, tackle the underlying causes of the crisis, but they must also simultaneously make the changes that will allow their organizations to thrive in turbulent environments. Adaptive leadership is an improvisational and experimental art, requiring some new practices. Like Julie Gilbert, who overcame internal resistance to reorient Best Buy toward female purchasers, adaptive leaders get things done to meet today's challenges and then modify those things to thrive in tomorrow's world. They also embrace disequilibrium, using turbulence as an opportunity to build crucial new capacities, as Paul Levy did to rescue Beth Israel Deaconess Medical Center from a profound financial crisis. Finally, adaptive leaders, such as Egon Zehnder, the founder of an executive search firm, draw out the leadership skills that reside deep in the organization, recognizing the interdependence of all employees and mobilizing everyone to generate solutions.

  14. A crisis management quality improvement initiative in a children's psychiatric hospital: design, implementation, and outcome.

    Science.gov (United States)

    Paccione-Dyszlewski, Margaret R; Conelea, Christine A; Heisler, Walter C; Vilardi, Jodie C; Sachs, Henry T

    2012-07-01

    Behavioral crisis management, including the use of seclusion and restraint, is the most high risk process in the psychiatric care of children and adolescents. The authors describe hospital-wide programmatic changes implemented at a children's psychiatric hospital that aimed to improve the quality of crisis management services. Pre/post quantitative and qualitative data suggest reduced restraint and seclusion use, reduced patient and staff injury related to crisis management, and increased patient satisfaction during the post-program period. Factors deemed beneficial in program implementation are discussed.

  15. Sorne strategies used by Peruvian families to cope with the present socioeconomic crisis

    OpenAIRE

    Majluf, Alegria

    2013-01-01

    This study focuses on srraregies used by mothers of middle and low SES ro cope with the present socioeconomic crisis. Using a brief quesrionnaire and rhe F-Copes Scale, 20 morhers from each socioeconomic leve! were interviewed. Resulrs showed rhar borh gro\\lpS were affected economically and rook measures ro reduce rheir expenses in basic needs such as food, clorhing and recreation. Morhers coming from rhe middle SES used estategies ro reestructure che situation and make ir more bearable, whil...

  16. Like Mother,Like Daughter

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    On the road to maturity, one's parents always have a great degree of influence. Yang Yuying, a young singer, attributes much of her success to her mother Xiong Yonghong. The hard working mother has exerted an imperceptible influence on her daughter's attitude to life with her traditional Chinese virtues.

  17. Rhetorical Visions of Unmarried Mothers.

    Science.gov (United States)

    Endres, Thomas G.

    1989-01-01

    Examines the symbolic reality of unmarried mothers using Bormann's fantasy theme analysis and Q-methodology. Identifies three rhetorical visions with a dramatistic humanistic analysis produced by and about unmarried mothers: the Down and Out Vision, the Making the Best Vision, and the Yummie Vision. (MS)

  18. "Migrant Mother" by Dorothea Lange.

    Science.gov (United States)

    Henry, Carole

    1995-01-01

    Maintains that the photograph, "Migrant Mother," is recognized throughout the world. Provides a three-part instructional unit on Dorothea Lange and social issues related to migrant workers. Includes four photographs by Lange, including the most well-known, "Migrant Mother 5." (CFR)

  19. Adolescent Mothers' Adjustment to Parenting.

    Science.gov (United States)

    Samuels, Valerie Jarvis; And Others

    1994-01-01

    Examined adolescent mothers' adjustment to parenting, self-esteem, social support, and perceptions of baby. Subjects (n=52) responded to questionnaires at two time periods approximately six months apart. Mothers with higher self-esteem at Time 1 had better adjustment at Time 2. Adjustment was predicted by Time 2 variables; contact with baby's…

  20. 危机管理对精神科患者护理质量及风险事件的影响%Efficacy of Crisis Management on Quality of Nursing Care and Risk Events in Patients with Psy-chiatric Disorders

    Institute of Scientific and Technical Information of China (English)

    龚建荣; 全夏菲

    2016-01-01

    [Objective]To investigate the effect of crisis management of nursing quality and risk events on pa‐tients with psychiatric disorders .[Methods]From June 2014 to June 2015 ,the crisis management had been applied in the patients with psychiatric disorders in our hospital ,and the efficacy had been compared with those effects under‐went (June 2013 to May 2014) .The effects of crisis management on the quality of psychiatric nursing ,nursing dis‐putes ,risk events and the satisfaction degree of patients'family members were analyzed .[Results] After the imple‐mentation of crisis management ,the indicators of basic nursing ,nursing records ,ward environment /safety ,first aid drugs /equipment and total nursing quality score were significantly higher than those before implementation ( P <0 0.5) .Nursing risk events ,nurse‐patient disputes ,nursing complaint rate and nursing error rate were significantly lower than those before implementation ( P <0 0.5);Patients'satisfaction rate was higher than that before the imple‐mentation ( P <0 0.5) .[Conclusion]Crisis management can effectively improve the quality of nursing care ,reduce the incidence of nursing risk events and nursing error rate .It is helpful to improve the satisfaction rate of patients'families ,and reduce the occurrence of nursing disputes .%【目的】探讨危机管理对精神科患者护理质量及风险事件的影响。【方法】2014年6月至2015年6月对本院精神科患者应用危机管理,并与应用危机管理前(2013年6月至2014年5月)进行对比,分析危机管理对精神科护理质量、护理纠纷、风险事件及患者家属满意度的影响。【结果】危机管理实施后基础护理、专科护理、危险患者管理、护理记录、病房环境/安全、急救药品/器械及护理质量总评分显著高于实施前(P <00.5);护理风险事件、护患纠纷发生率、护理投诉率、护理差错率显著低于实施前( P <00